HomeMy WebLinkAboutPermit applicationAl! APPL.fCA L£ INFO MUST BE COMPLETED FO
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Date:`-
KY, '
R APPLICATION TO BE ACCEPTED
Permit Number:
Building Permit Application
Planning and Development Services
Building and bode Regulation Division Comme
2300 Virginia Avenue, Ford Pierce F[. 34982
Phone:- (772) 462-1553 Fax: (772) 462-1578
Address: E��"
Property Tax ID #: 3LI03
Site Plan Name:
Project Name.
W. b (D P ms
ri
V?00"�% Residential
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New Electrical Meer Second Electrical Meter
Additional work to be performed under this permit-- check all that apply:
Nrmechanical _ Gas Tank Gas Piping Shutters
electric
Plumbing
Total Sq. Ft Of Construction:
Copt of Constr-uction. $
_Sprinklers
Generator
Sq. Ft. of First Floor:
Lot No. 3
Block No%
Windows/Doors Pond
Roof Pitch
Utilities-. Sewer Sep.tic
If value of construction is 2500or more, a RECORDED Notice of Commencement is required.
if valuef HAVC is $7,,500 or more, a RECORDEDmice of Commencement is required.
Building Height:
-V W...1 W4.
DESIGNER/ENGMEER:
_Not Applicable
name:
Address:
1,t: State.
Zip: Phone
FEE SIMPLE TITLE HOLDER: _Not Applicable
Name.:
Address:.
City:
Zi : Phone:
MORTGAGE COMPANY: _Not Applicable
Name:
Address:
City: State:
Zip: Phone:..
BONDINGCOMPANY.0
Name.
City:
Zi P: Phone.
Not Applicable
OWNER/ CONTRACTOR AFFIDVITI., Application is hereby made to obtain a permit to do the work and installation as indicated.
1 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 hermit holder to build fine subject structure
which is in -conflict with any applicable Home Owners Association rules, bylaws or -and covenants that may restrict or prohibit such
structure. Pease consult with your Home Owners Association and review your died for any restrictions which may apply.
In consideration of the granting of this requested permit, i do hereby agree that f will, in all resoects, peffarm 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,,
accessary structures, swimming pools, fences, walls, signs, screen rooms and accessary uses to another non-residential use
WAR N I N G TO'OWN E R : Your failure to Record a Notice of Com me in cement may resuf# i n paying twice far
improvements -to your property. A Notice of Commencement must be recorded in the public records of St*'
Lucie County and posted on the jobsite before the first inspection. If -yot)j"n end to obtain financing, consult
with len%eror an attorney before commencing Work or recording your/ v �e of Commencement.
day of
V
nse Holder
COUNTY OF
Sworn to (or -affirmed) and subscribed before'me of
L;ooprhysical Presence or --------- Online Notarization
this - tE day of=j=La,2420 6y
Ida me & person ma ki ng statem-eht.
Personally Known OR Produced Identification
Tvr)e of Identification
I