HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Q Q
Date: 9127119 Permit Number: I 1 O l
RECEIVED
•
- - - Building Permit Application SEP 2 7 2019
Planning and Development Services ST. Lucie County, Permitting
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMITTVPE: Temporary Fencing
'F,[MPROUEMENTLOCATION.;=
.,.
Address: 2700 Industrial Ave 3 Fort Pierce, FL
Property Tax ID #: 1429-501-0114-000-0
Site Plan Name:
Project Name: St. Lucie County Humane
Additional work to be performed under this permit— check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters
_ Electric _ Plumbing _ Sprinklers _ Generator
Total Sq. Ft of Construction:
Cost of Construction: $ 800
Sq. Ft. of First Floor:
Lot No.
Block No.
Windows/Doors
Roof Pitch
Utilities: _Sewer _Septic Building Height:
K r .t
oFNNE)}�L1 SJCE " xii yn r :' e $ f
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CONTIRA c_
Name St. Lucie County B.O.C.0
Name: Scotty Beaulieu
Address: 2300 Virginia Avenue - -
Company: St. Lucie County B.O.C.0
City: Fort Pierce State: _
Zip Code: 34982 Fax:
Phone No.772-462-1100
Address: 2300 Virginia Avenue
City: Fort Pierce State: FL
Zip Code: 34982 Fax:
Phone No a,4&2-1100
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail a<61l.Xlyd
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.
Name:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Zip:
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:,
BONDING COMPANY:
Address:.
City:
Zip: Phone:
Not Applicable
_Not Applicable
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 priorto 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
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 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 FLORIDA
STATE OF FLORIDA
COUNTY OF
COUNTY OF
The forgoing instrument was acknowledgedbefore me
The forgoing instrument was acknowledged 1 before me
gby September
this 27 day of september 20
this zrday of , 201 l by
Name of person making statement.
Name of person making statement.
Personally Known `l OR Produced Identification
Personally Known V/ OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
r
(Signature of Nota ' 'k tote of FIORIMCARTES
(Signature of Notary,•Pul r�+, 9 pf Florid a CARTES
+
r,: NY COMNIS810NA00818768
A9ICOMMISSIONgGG318758
Commission No. ?' et D(PIE�b&aA)ne2 2023
Commission No. :?' ? E7(®RH£) June2,2023
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