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HomeMy WebLinkAboutbuilding permitAll APPUCA LE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Cate: � Z3 Permit Number: ° � � � �~ Building Permit Application Planning and Development Services Building and Code Regulation Division Commercial Residential 2300 Virginia Avenue, Fort Pierce F� 34382 Phone: (772) 462-1553 Fax: (772) 462-1578 • , �� � s •� ..�.$ # .. Address: (cam ©00 l ,r'QV�I�S 1/U�9 Property Tax ID #: 34 I O - S03 " d l Duo "�(� - � Lot No. � � Site Pian Name: �%�'CI-� �t"Z)1i� Block No, J� Project Name: t�E�AI��� DESCRI�TIC�Iii Q� �rv�Rl�: "i'�► S�-a l I 1 h A �' in ou.�PX �a S � . NeuJ 5 h o tcJe� ✓cc 1 ve._ Gin d VVl1 i'tor lr�l oc�-E-►an o� �.�atc�.r 1; nc.s -�� nee, Shower V'o � 9 �i r n °I' �l oo � "ttA� New Electrical Meter Second Electrical Meter CE}NSTRUCTION )NfORMATIQN: Additional work to be performed under this permit - check aN that apply: _Mechanical __/ Gas Tank _Gas Piping _Shutters _Windows/Doors _Pond _Electric V Plumbing _Sprinklers _Generator _Roof- Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction: $ � ��� � � � Utilities: � Sewer _Septic Building Height: `�eJV[�ER1� ����m C C�Ro �, ¢-.�. Name JLl v1�l�S l�Gt.. Name: iL v' � ,n ° {- Address:tvv�v��� 6�%C (%�'"E�i �,� Company: 'Z �� �iv2 {' City: .� V "� -Y i f'ot�L-t'_.. State:��--- Address: �=7F1 City: ��3Yf � �-�'� �-- State: �L- Zip Code: J`�� �2- Fax: Phone No. �(�� - y-f�� - ��� 1 Zip Code: ���,�� Fax: E-Mail: Phone No-1-7a2.-��j �- � �-� Fifl in fee simple Title Holder on next page (if different E-Mail i ��Of� IdIE'�'i ���y� �� �-�'!''1 from the Owner listed above) State or County License Ltd l y Z��aj`,� If value of construction is 2500 or more, a RECORDED Notice of Commencement is required. I# value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required. �����rvt�yCn��IvttR: _Not Applicable - Name: Address: City: Zip:_ State: Phone FEE SIMPLE TITLE HOLDER: Not Applicable Name: Address: city: Zip' Phone: MORTGAGE COMPANY: Not Applicable Name: Address: City: State: Tp: Phone: BONDING COMPANY: Name:_ Address: city:_ Zip: Phone: _Not Applicable OWNERf CONTRACTOR AFFIDVIT: 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 Counttyy makes no representation that is granting a permit will authorize the permit holder to build the subject structure which is in cortFfict 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. Inconsideration of the granting of this requested permit, ! 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: Yaur failure to Record a Notice of Commencement may result in paying twice for improvements to your property. A Notice of Commencement must be recorded in the public records of St. Lucie County and posted on th �obsite before the first inspection, If you intend to obtain financing, consult witlyilen r or an attorney befj�e commencing work or recordinearot,r N Ira of MrY,.,yss�..e.,,,....s r ;rrr� of Owner/ Lessee ntractor as Agent for Owner STATE OF FLORIDA STATE OF FLORIDA v COUNTY OF ST � 1 � COUNTY OF ST �Gt 1L. Syivo�n to (or affirmed) and subscribed before me of f� Physical Pres nce or Online Notarization this day of �V f•.1 � 2020 by Name of person making statement. Personally Known � OR Produced Identification Type of Identification Produced (signature of Notary Pu _ �F� =:p - �'__ Hota�y bU'F -State of Florida Commission No. �_= tod�{dn a GG 461084 `•••,,,oF��' My Comm. Expires Mar 14, 2i)24 REVIEWS FRONT ,�: ZONING SUPERVISOR COUNTER REVIEW REVIEW SATE DATE COMPi_ETED Sworn to {or affirmed} and subscribed before me of Physical Presence or Online Notarization this day of�d� r , 2l320 by Name of person making statement. Personally Known � OR Produced Identification Type of identification of Notary Public- State of Commission No. _►� :? .. PLANS VEGETATION SEA TURTLE REVIEW REVIEW REVIEW �'�: WANE CC i �, Notary PubNc - Sta `� Commissron !f G My Comm. Expires 1 Bonded throegh National MANGROVE REVIEW 2024 Assn,