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HomeMy WebLinkAboutBuilding Permit Application all All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED� 6 - . -- �] Date: 3 Zo2C) Permit Number:----,2-0 d V v 0 T. y ---- - - -= Building Permit Applicatio JUN2020 Planning and Development Services 'e n,P:b I +e l ;:; "` ^p e Building and Code Regulation Division Commercial Residential 2300 Virginia Avenue,Fort Pierce FL 34982 Phone:(772)462-1553 Fax: (772)462-1578 PERMIT APPLICATION FOR: L • Address:5(Q10t �o iDa� P l f ecc: p Property Tax ID#: -i��'� �2^ D —C00 Lot No. ZZ l Site Plan Name: (gCQJF_ aCIQ_k Block No. Project Name: E (ZC YJ P%A:1' S 1 l PUZ n? © PJ T XXX New Electrical Meter Second Electrical Meter CONS T CT © N • M Additional work to be performed under this permit-check all that apply: —Mechanical Gas Tank'-. Gas Piping —Shutters _Windows/Doors. _Pond'.. P Electric dumbing —Sprinklers —Generator _Roof Pitch Total Sq. Ft of Construction: _n(-�C �� Sq:Ft. of First Floor: Cost of Construction:$ �I�'"l a � Utilities: Sewer k"Septic Building Height: A1 _ r.1�r �Oo Name ddr6ss-- 5( 6,�-JO� ucD 1 °. ye \�` CCNo�aJmmN'peTa:.nR.yA: �� 1PState: ` ' NlCity: State: LAddc s: • 3 Zip Code: �� � Fax: City: �'� ,.; State: Phone No.M?> yc — �l40 L�Q 0,0A A. Zip Code: Fax: E-Mail: Phone No Fill in fee simple Title Holder on next page(if different E-Mail k ( .l.1 As l'F- Q, from the Owner listed above) State or County License C2�53L4 H If value of construction is 2500 or more,a RECORDED Notice of Commencement is required. If value of HAVC is$7,500 or more,a RECORDED Notice of Commencement is required. DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: pplicable Name: 1 CoQ1 L i t'� Name: Address: c EZ�n� � �_ Address: City: J;pet P,eQL-E� State: City: State: Zip: Phone '?"T2-4W--'1"15 1 Zip: Phone: FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPAN _Not Applicable Name: Name: Address: Addres City:. city: Phon Zip: Ph 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 TO OWNER:Your 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 the jobsite before the first inspection. If you.intend to obtain financing, consult. with lender or an attorney before commencing work or recordin vour Notice of Commencement.' Signature o e Con actor as Age n Owner Signature STATE OF FLORIDA S STATE OF FLORIDA (� COUNTY OF 7 ,�,j� COUNTY OF -}}. Sworn to(or affirmed)and subscribed before me of Swor to(or affirmed)and subscribed before me of ✓Physical Presence or Online Notarization `Physical Pr ce or Online Notarization this day of 2020 by this ` day of 2020"by er 14�/Ifi 3AA 1'",% :54 V- Name of personaking state a t. Name of perso making statem Personally Known OR Produced Identification Personally Known OR Produced Identification / Type of Identification Type of Identification Produced r l ]C, Produced. C} (Signature of No (Signature'of Not Public-State of Florida AUDREY B.HUMPHREY i �►s'!ai'' AUDREYB. MP EY Commission No. _ ; MYCOMMIS$Mt�GG300817 Commission No. �; �.. EXPIRES:March 6,2023 OMMISSI M 300817 SPF F°P' Eonded Thru Nota Public Unde�writerc ° 'cK= EXPIRES:March 6,2023. one ru o REVIEWS FRONT ZONING SUPERVISOR PLANS VEG 1 4 SEA URTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev. L