HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date
Permit Number:
O
° Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial (County Preserve) Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Demolition
PROPOSED IMPROVEMENT LOCATION:
Address: 3915 Sunrise Blvd. Fort Pierce, FL 34982
Property Tax ID #: 2433-501-0001-010-4
Site Plan Name: NA
Project Name: NA
DETAILED DESCRIPTION OF WORK:
Lot No._
Block No.
Demolition of a 1696 SF pole barn that was destroyed during the hurricane and was condemned and concrete.
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this 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: 1696 SF
Cost of Construction: $
Sq. Ft. of First Floor:
Utilities: —Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name St Lucie County
Name:
Company:
Address: 3915 Sunrise Blvd
City: Fort Pierce State: _
Address:
City: State:
Zip Code: 34982 Fax:
Phone No. 772-462-2526
Zip Code: Fax:
E-Mail: Pauleyb@stiucieco.org
Phone No
E-Mail
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
State or County License
If value of construction is 2500 or more, a RECORDED Notice of Commencement is requirea.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
MORTGAGE COMPANY:
Not Applicable
Name: - _
Name:
_
Address:
State:
Address:
City:
State
City:
Zip: Phone
Zip: Phone.
FEE SIMPLE TITLE MOLDER: Not Applicable
BONDING COMPANY:
Not Applicable
Name:
Name:
Address:
Address:
City:
Zip: Phone,
City:
Zip: Phone
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OWNER/ CONTRACTOR AFFIL7vi 1: Appucanon is nereuy mauc u+ UjjL42111 Q F <<15• •-• - - - - --- -
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie Countt�fyyll makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which
trt cture. Pleasecconisultw with your Home Owners AssctAssociation review your deed for any restrthat
ct ons which maor
alprohibit such
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-lanrlPr nt n attorney before commencing work or recording your Notice of Commencement.
y
as Agent for Owner Signature of Contractor/License Holder
STATE OF FL
COUNTY OF
Sw�orn� (or affirmed) and subscribed before me of
VPh sisal Presence or Online Notarization
this 2 day of _. 2020 by
)VJ L1Y�- 'So- .-0-C.
Name of person making statement.
Personally Known
Type of Identification
Produced
of Notary
522
; i;ru ::: •� ;ty i'u3:!'c 1;:.:ierwrdBlS
Commission No. &Ct- QIf.I (Seal)
REVIEWS FRONT ZONING
COUNTER REVIEW
DATE
DATE
STATE OF FLORIDA
COUNTY OF ....... _
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this day of , 2020 by
Name of person making statement.
finally Known OR Produced Identification
of Identification
(Signature of Notary Public- State of Florida )
Commission No. (Seal)
SUPERVISOR
I REV EW VEGETATION
S REVIEW LER REVIEW