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HomeMy WebLinkAboutBuilding Permit Application-1 IN All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED //�� �,qq Date: Permit Number: o �A Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential PERMIT TYPE: Address: Property Tax ID #: `7�L71 , QOI )l LX-IC K-S Lot No. Site Plan Name: Block No. Project Name: all ti Additional work to be performed under this permit- check all that apply: _Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch Total Sq. Ft of Construction: l'sr Sq. Ft. of First Floor: 1316 ` Cost of Construction: $ �nj ©C2. C'-J Utilities: _Sewer Septic Building Height: a h PT Name AV r Name: Address _LII7&5 eLAA-a96o514 d4- Company: City> p2.Jt l(j�;'.e State:_ Zip Code: 3 % Fax: f Phone No. Address: �Ol 5- �tA City: .~,: 2 . P/L�•e State: Zip Code:- Phone Ng7.ZASS° fi E-Mail• Fill in fee simple Title Holder on next page ( if different from the Owner listed above) � E-Mail-`5�244-,t •v-t4,t �j7'S/x,/ $Mlq �• 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. t:� 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 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 T WNER_ YOUR FAILURE TO RECORD A NOTICE OF COM�IN MAY RESULT IN YOUR PAYING TWICE OR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF C ME CEMENT MUST BE RECORDED AND POS D ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF Y IN ND TO OBTAIN FINANCING, CONSULT W H YOUR LENDER OR AN ATTORNEY BEFORE RECORDING Y R N ICE OF COMMENCEMENT." ture o Owner/ Lessee/Contractor as Agent for Owner ignature 6f Contractor/License Holder STATE OF FLORIDA STATE OF 1 u COUNTY OF FLORIDA1� COUNTY OF 'emu Theing instru nt was acknowledged before me thisr c�day of 26 9by Name of person making statement. Personally Known OR Produced Identification Type of Identification Commission No. REVIEWS COMPLETED (Seal) The f oing instr ent was acknowledged before me thisday of by Name of person making statement. Personally Known OR Produced Identification Type of Identification Commission No. PLANS I VEGETATI REVIEW REVIEW rm qv 11-- My COMMISSION # GG 275060 n._.hei20.2022 REVIEW I REVIEW