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Home My WebLink AboutBuilding Permit ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: ____________________ Permit Number: _____________________ 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 APPLICATION FOR: PROPOSED IMPROVEMENT LOCATION: Address: __________________________________________________________________________________________ Legal Description: ___________________________________________________________________________________ __________________________________________________________________________________________________ Property Tax ID #: _________________________________________________________________ Lot No.__________ Site Plan Name: __________________________________________________________________ Block No. _______ Project Name: ______________________________________________________________________________________ Setbacks Front__________ Back: _________ Right Side: _________ Left Side: ________ DETAILED DESCRIPTION OF WORK: CONSTRUCTION INFORMATION: Additional work to be performed under this permit – check all that apply: __ HVAC __ Gas Tank __ Gas Piping __ Shutters ___ Windows/Doors __ Electric __ Plumbing __ Sprinklers __ Generator ___ Roof Total Sq. Ft of Construction: ___________________ Sq. Ft. of First Floor: _________________________ Cost of Construction: $ _____________________ Utilities: __ Sewer __ Septic Building Height: __________ OWNER/LESSEE: CONTRACTOR: Name__________________________________________ Address:________________________________________ City: _________________________________ State: ___ Zip Code: ______________ Fax:____________________ Phone No._______________________________________ E-Mail:_________________________________________ Fill in fee simple Title Holder on next page ( if different from the Owner listed above) Name: __________________________________________ Company: _______________________________________ Address: ________________________________________ City: ______________________________ State:____ Zip Code: ________________ Fax: __________________ Phone No. _______________________________________ E-Mail: __________________________________________ State or County License: ____________________________ If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. Roof pitch SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: ___ Not Applicable Name:_____________________________________ Address:__________________________________ City: __________________________ State: _____ Zip: ___________ Phone______________________ MORTGAGE COMPANY: ___ Not Applicable Name:______________________________________ Address: ____________________________________ City: _____________________________State: _____ Zip: __________ Phone:________________________ FEE SIMPLE TITLE HOLDER: ___ Not Applicable Name:_____________________________________ Address:___________________________________ City:_______________________________________ Zip: ___________ Phone:______________________ BONDING COMPANY: ___Not Applicable Name:__________________________________________ Address: ________________________________________ City:____________________________________________ Zip: ___________ Phone:___________________________ 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 jobsite before the first inspection. If you intend to obtain financing, consult with lender or an attorney before commencing work or recording your Notice of Commencement. ___________________________________________ Signature of Owner/ Lessee/Contractor as Agent for Owner STATE OF FLORIDA COUNTY OF_________________________________ The forgoing instrument was acknowledged before me this ____ day of _________________, 20___ by Name of person making statement Personally Known _______ OR Produced Identification ______ Type of Identification Produced__________________________ (Signature of Notary Public- State of Florida ) Commission No. ______________ (Seal) ___________________________________________ Signature of Contractor/License Holder STATE OF FLORIDA COUNTY OF___________________________________ The forgoing instrument was acknowledged before me this ____ day of _________________, 20___ by ___________________________________________________ Name of person making statement Personally Known _______ OR Produced Identification _______ Type of Identification Produced___________________________ ____________________________________________________ (Signature of Notary Public- State of Florida ) Commission No. ______________ (Seal) REVIEWS FRONT COUNTER ZONING REVIEW SUPERVISOR REVIEW PLANS REVIEW VEGETATION REVIEW SEA TURTLE REVIEW MANGROVE REVIEW DATE RECEIVED DATE COMPLETED Rev. 8/2/17 __________________________________________ ___________________________________________ improvements to your property. A Not'ice of Commencement must be recorded and posted an the jobs before the filrv'c inspection. If you intend 1:0 obtain financing,, cans #t�.�nrith lend'eror an attorney before corrimenmg1wcirork or recQrdirre vour Noticeof Commencement_4� AV fjFF 1 is T Signature of Owner/. Lessee/Contractor as Ageni fir 01;I.,tn�r STATE OF FLORIDA COUNTY OF A the for oing inst.rument was acknowledged before me this day of �l �; t�.� . 2o'�U by Ilk; � fame of person making statement Personally Known c s< OR Produced Identification Type of Identification Produced Rev, 9/ 2/ 17 Signature of ContraetorJ�icense Holder STATE OF FLORIDA COUNTY OF i Tfie for oing instrument was acknowledgesd before me this day of I -A , 20 �cb4� Name of person making statement Personally Known . Lie OR Produced Identification Tyke of Identification traduced ., � Name:: 4arianne Davis Address: 5719 PLACE LAKE DR CI"t�/; FortPierce �ta t e IQ TRH: Phone FEE SIMPLE TITLE HOLDER,: Not Applicable Name: __ Ad �j'e s s,@ 8402 LAUREL FAIR CIR SUITE 111 CPIP ity: Zip: Phone: Name: DIMITRE BOBEV address: 5719PIaceLakeDR City: TAMPA State 111. Zip: Phone'. BONDING COMPANY: Not Applicable Name: Address. ' City: Zip: Phone: OWNER/ CONTRACTOR AFFIDVIT,, ltppiication is hereby made to obtain a perm"I"II do the work and 'installation as indicated, 1 certify that no work or installation has commenced prior to the �i. Lucie Caunty makes nc� represerttaiion thaT. is granting aperm which is in conflict with any applicable Horne Owners Association issuance of a permit.. it will authorize the permit holder to build the subject strLicture� ruies.,bylaws or and covenants that may restrict car prohibit such structure., �HomePlease onsuit with your Owners Association and review your deed for any restrictions which may apply. In consideration of thxn.! granting ofthis requested permit, I do hereby agree that I will, in all respects, perfarm the �n+ork in accordance with she approvtie ed plansFloridaBuilding Codes and SL. Lucie. County Amendments. Tire tollowing build in perm, Ot applications are exempt from undergoing a full concurrencv review: room additions., accessory structures, swimming pools, fences, walls, signs, screen moms and accessory uses to another non-residential use ARNIt1f 3Q OWNED: Your failure t€a r ecc ra a Nance oT Itmmence ent may result in your paying twice ;or lie