HomeMy WebLinkAboutBuilding Permit Application All APPUCCIABLE INFO MUST'BE.COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: <" � "^2aZy Permit Number. �o�
RECEIVED
E
Building Permit Applicati � 8 2020
Planning and Deyeloph7entServices ST. Lucie Countyrmitting
Building.and Code Regulation Division Commercial Resi en I
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)4.62-1553 Fax: (772)462-1578
PERMIT APPLICATION FOR:
o "
Address: 130 LoN6 PING D(L) V C- roar_ f /E_2C0 Fl. 3L49'6 2..
Property Tax ID#:_2i5 0 f 00 0 LoWo (C5 Lot No.
Site Plan Name: Block No.' .
Project Name:
L —
CaNSMu_LTfDlU a NCvJ VCNcc- SGebe_l-AtI,S lam+ NaA L-E�rT�
A >3D MAR-1Le..c� 5 LAy-\fe`>' A7T-Ac3 VJ
x io ao!55 da=l
New electrical Meter Second Electrical Meter
X2. M -
--
NINE 1.1 LF21 I
Additional work to be performed underthis permit-check all that apply:
_Mechanical _Gas Tank —Gas Piping _Shutters _Windows/Doors _Pond
_Electric _Plumbing —Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction:$ 5Da Utilities: _Sewer _Septic Building Height:
�j,r��t`-c�.�`��..tt�*a- �{-"tea � .��4 -�. �4,� x bh3" C ,�'s"J�t � : -�"�r"�'.ay'.�^"p�,_•+�V�tt- ,y�.��,,"'.��� r � ; ��`.i�L`",o„� �
Name 1-1 AD CfLDUSC Name:.:. - -
Address: 3 L� LD l-)6- P P N b 2 Company: - = ` : .
City: N LT PIC-lu E State: r Address'--'"-" -
- Zip Code: Z Fax: City: "• -
State:
Phone No. X72 2)to g1-(52 Zip Code: Fax:
E-Mail: e r-e l SeC b Vb P C�SXY0,; 1 ,C 00 Phone No
Fill in fee simple Title Holder on neYt 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 isrequired.
If value of HAVC is$7,500 or more,a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER: „N'ot Applicable MORTGAGE COMPANY: ✓iQot Applicable
Name: Name:
Address: Address:
City; State: City: •State.
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: - Not Applicable . RONDING'COMPANY: 1.:�No7t Applicable
Name: Name:
Address: Address:
City- City:
Zip: Phone: Zip: Phone:
OWNER/CONTRACTOR AFFIDVIT:Applicatio n.is hereby made to obtain a permit to!do the work and installation as indicated.
.!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 permrt hblcl4to 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 consultwnhyouur Home Owners Association and reviewyour 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 paying twice fior
improvements to your property.A-Notice of Commencement must be recorded in the public records of St..
Lucie County and pasted on the jobsite.before the first inspection.lfyou intend to obtain financing, consult
with lenderpr an attorney before commencing work or recordiri - our Notice of Commencement.
Sigriat a o=Or/Lessee/Contractor as Agent for Owner Signature of Contractor/License HolderSTATE CIDA- STATE OF FLORIDA
COUNTY OF COUNTY OF
Sworn to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
Physical Presence or Oniine Notarization. Physical Presence or Online Notarization
this '� day of��, 20ac� by 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 L .Q L... Produced
(Signature of N 9t)NENS (Signature of Notary Public-State of Florida)
`:�'•'' ''� MY COMMISSION#GO 022023
Commission No. ItEsa]e�- meters Commission No. _(Seal)
sor,(W-rm Notary NoOf
I ppt
REVIEWS FRONT ZONING' SUPERVISOR. ,: PLANS., .VEGETATION. SEATURTLE MANGROVE.
COUNTER REVIEW REVIt1(` REVi��/ =x REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.