HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: d I )'a V Permit Nui
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• FEB 1 1 2020
- ----- Building Permit App i
, Ring Dept-*r
Planning and Development Services ent
Building and Code Regulation Division St• Lucie Count
2300 Virginia Avenue, Fort Pierce FL 34982 -
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMITTYPE:e V-,r"e
Address: 3000 S. ? T4- %/ f a 3y%97.
Property TaxlD#: `LY Z? - G6/ - 0060 - 000 (d Lot No. 45
Site Plan Name: A Block No.
V
Project Name: -7tJi/7alSC at
Additional work to be performed under this permit -check all that apply:
Mechanical _ Gas Tank —Gas Piping _ Shutters —Windows/Doors
_� Electric Plumbing _Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ ,350
— Generator — Roof Pitch
Sq. Ft. of First Floor:
Utilities: Isewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name: �eJ'!Q 7Pz� yam.
Name E:
Address: /5/ it o W
Company- %.. !J 016 i ld fla n.& Age
City: d 'z Stater/-
Zip Code: Fax:
Phone No.
' .
Address: /5P //AWdCmn( .4.J
City: JCa / :Jj eYCe State:
Zip Code: 3 •/ `i8 2. Fax:
Phone No 772) 15 72/�S�
E-Mail: tail•
�72t9&
Fill in fee simple Title Holder on next page( if differenf'0
from the Owner listed above)
E-Mail l•
State or County License ? HI // L 3 13 6
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.
�7
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 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
STATE OF FLORIDA
COUNTY
The forgoing instrum nt was acknowledged before me
this _ day of "— 20OD by
62,-rnc �Ze 1044
Name of person making stater4odrit.
Personally Known OR Produced Identification
Type of Iden_to• Produced dL�( t
Ss a-OCT
Commission No.
REVIEWS
AUDREYB.HUMPHREr
' COMM M" N GG 300817
EXPIRES: Mardi 6; 2023
The for oing instrum was acknowledged before me
this/ dayof .20_.'�Oby
�Pn z2g WU
Name of person making statetnerl .
Personally Known OR Produced Identification
Type of Identification
of
Commission
FRONT I ZONING- COUNTER REVIEW I SUPERVISOR
I PLANS REVIEW I VEGETATION S REVIEW I MANGROVE