HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: __ Permit Number:
` La L
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce !~L 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
Commercial__ Residential
0
N
PROPOSED IMPROVEMENT LOCATION:
Address: 2
Property Tax ID #: _Q a _ Lot No.
Site Plan Name: _ Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
1
New Electrical Meter _ Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit- check all that apply:
_Mechanical .. Gas Tanis — Gas Piping —Shutter's
— Electric _ Plumbing — Sprinklers Generator
Total S Ft f C
Windows/Doors Pond
_ Roof Pitch
q. o onstruction: Sq. Ft. of First Fluor: _
Cost of Construction: $ Utilities: _Sewer _Septic
OWNER/LESSEE; CONTRACTOR:
Name
Address: d 1 Company: 1�
City: er State:� Address:
Zip Code- Fax:
City:
Phone No, o - T Zip Code:
E-Mail: .fl . one No
Fill in fee simple Title Holder on next 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 is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of commencement is required,
Building Height:
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGPIER/ENGINEER: _Not Applicable! MORTGAGE COMPANY:
Name:Name: _ Not Applicable
---
Address: �� Address:
City: State: — City:_
Zip: Phone —_— State: _
— —_ _ Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Nlot Applicable
Name: Name:
Address: Name:.______
City:—
Address:
--�-----�— City:_ _..
Zip: Pi�one:� — _ Zip, _ —-- —�._
Phone:
OWNER/ CONTRACTOR AFFIipViT: 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 tc the issuance of a permit
St. Lucie County makes no representation that is gi,anting a permit will authorize the hermit 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 appli,_ations are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, sfgns, screen rooms and accessoy 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 comma work or recordinaur Notice of Commencement.
Signature of Owner/ Lessee/Nria?ct-o�r Signatureof Contractor License Holder
STATE OF FLORIDA STATE OF FLORIDACOUNTY OE ,fit. Uucic _ COUNTY OF Si . -u(it �
Swmrn to (or affirmed) and subscribed before me of
"# Physical Pres nc or Online Notarization
8- thi 'day of 2020 by
Name of person making statement.
9
Personalty Known _ OR Produced Identification
Type of Identification �—
Produced 1Ci{y GO
ar° 4o_ C ry Pubiic-state of Florii
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--�20 ^� 3; _ orTi-Sion H GG 9F-g-7A
(Signature of Notary Pubi -,1'a `�� NO
Commission No. Ali �tr (seal)
REVIEWS FRONT ZONING
COUNTER REVIEW
j DATE
RECEIVI-D
DATE
COMPLETED
Rev, 5/6/20
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2o24
Swf¢rn to (or affirmed) and subscribed before me of
P �sical Presence or Online Notarization
this-- �tJay of - 6i 2020 by
R r-
Name of person making statement.
Personally Known a1 OR Produced Identification
Type of Identification _--
Notary Pubi
ission No.
SUPERVISOR PLANS VEGETATION
REVIEW REVIEW REVIEW
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SEA TURTLE MANGROVE
REVIEW REVIEW