HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFOMUSTBE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: T- Permit Number: Zooa--nz
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Building Permit Application JUN 0 a 2020
Planning and Development Services
Building and Code Regulation Division _
2300 Virginia Avenue,Fort Pierce FL 34982 i 6 I
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Phone: (772)462-1553 Fax: (772)462-1578 Commercial {ResidentiaW=' -7 _,r'
PERMITTYPE: J2GIPA-M,
ROPOS ► IMFROUE ENT LO ATION:
Address: 5-30-2- f--t- PL6CIe, "L_U'D F-C PLS O-44--- 1 c� ILE``,.S I
Property Tax ID#: l
'2D 6 ( 3 060 CJ Lot No.
Site Plan Name: 11;7 Block No. I
Project Name: "' -2'
DETAUL�D DR500,IPTION OF WORK.
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[CMNSTRUCTION IN'FQRMATIL4
Additional work to be performed under this permit-check all that apply:
_Mechanical _Gas Tank —Gas Piping _Shutters _Windows/Doors
Electric _Plumbing —Sprinklers _Generator K Roof 2 1%-2, Pitch
Total Sq. Ft of Construction: 260 Sq. Ft. of.First Floor:
Cost of Construction:$ I"m06) -01c, Utilities: —Sewer _Septic Building Height:
O NEAR/LESStE: C®NTRACTOR:
Name T,Ts Name: S' CBCvNl�cy
Address: 25 z9 0 V4z Company:
City: t=► -PLS - Stater Address: 37711 6L�& 1jc>are. AUE
Zip Code: 3Lt01 E(,,, Fax: City: V:c- er-g=7� State: FL
Phone No. Z'17_ 'Z�-(o g415-- Zip Code:3'{,'-t Fax:
E-Mail: Phone No "1-7Z `ZL(o-�d4�
Fill in fee simple Title Holder on next page(if different E-MailSi�r.�6c � o ;t� C�c,,vt�� .•Gc�+.�
from the Owner listed above) State or County License CLL ,r�- T� Ito 2
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.
S PPLEMENTAL C�NSTRUCTIaN LIEN LAW I'N.FORMATION:
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 thepermit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. 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
in accordance with the approved plans,the Florida Building Codes and St. Lucie County Amendments.
The 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 TH�1 SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND BTAIN FINANCING, CONSULT
°
WITH YO ENDER-OR-A-14 ATTORNEY BEFORE RECORDING YOUR NTICE COMMENCEMENT:"
Signature of Owne-r/~Lessee Contractor as Agent for Owner Signature of Contractor icense
STATE OF FLORI STATE OF FLORIDA e
COUNTY OF 1fiCt COUNTY OF
The for ing instru ent was acknowledged before me The fo o'ng instrumen was acknowledged before me
this day of 2t by this day of 20�by
)n
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification Personally Known /Y\ OR Produced Identification
Type of Identification Type of Identification
Produce Produced
pt
(Signatu a of Nota Pu ic-S at ri a 11 Si nature f No ic-Sta of to{d CATHERINEJ M EZ
k tar Public.State of Flo idle o
Y � f op m� Notary Public.Sta a Florida
Commission#GG 9212 3 �L =
Commission No. 213 I) mission No. al Commis ion#G 1213
omm.expires October 8,2t�29 My c,�mm expires O to r 8,2023
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW' REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.