HomeMy WebLinkAboutBuilding Permit Application 'All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: cJ�� — t��1
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 .Fax: (772)462-1578 Commercial Residential x
PERMITTYPE:
PROPOSED IMPROVEMENT LOCATION':
Address: 354 johnston street ft pierce fl 34982
Property Tax ID#: 7)y077� Lot No.
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Site Plan Name: \ Block No.
I
Project Name:
DETAILED DESCRIPTION O,F WORK ' � � RY ` fi a °"
electric wire repair where a nail was in wiring
Cb N ST W C-T-10N"INF0RMATI0N
Additional work to be performed under this permit—check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors
_ Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq.Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 1500.00 Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE CONTRACTOR = 5 y
Name stelia hunter Name:
Address:354 johnston street Company:
City: ft pierce State:_ Address:
Zip Code: 34982 Fax: City: State:
Phone No.772-216-5122 Zip Code: Fax:
E-Mail:stellahunter82@gmail.com Phone No
Fill in fee simple Title Holder on next page(if different E-Mail
from the Owner listed above) State or County License
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
If value of HVAC is$7,500 or more,a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTIONLIEN LAW INFORMATION � � � {-
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DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: .' Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: . Address:
City: City:
Zip: Phone: Zip: Phone:
OWNER/CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
St.Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
IN
is in conflict with any applicable Home Owners Association rules,bylaws or and covenants that may restrict or prohibit such
tructure.Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit,I do hereby agree that I will,in all respects,perform the work
n accordance with the approved plans,the Florida Building Codes and St.Lucie County Amendments.
he following building permit applications are exempt from undergoing a full concurrency review:room additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORID►` STATE OF FLORIDA
COUNTY OF COUNTY OF
The forgoing instrument was acknowledWby
efore me The forgoing instrument was acknowledged before me
this \ day of VN f� 2 this day of ,20_ by
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(SiAwAuTe of N ry Publi $o jd�y rioricniSTER J.EDWARDS (Signature of Notary Public-State of Florida)
e?l.• aC Notary Public-State 6f Florida
Commission No. q&e*ion p GG 286127 Commission No. (Seal)
oF �'` My Comm.Expires Dec 20,2022
Bonded through National Notary Assn.
REVIEWS' FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.2/7/19