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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 Commercial __________ Residential ___________ 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: PROPOSED IMPROVEMENT LOCATION: Address: __________________________________________________________________________________________ Property Tax ID #: _________________________________________________________________ Lot No.__________ Site Plan Name: __________________________________________________________________ Block No. _______ Project Name: ______________________________________________________________________________________ DETAILED DESCRIPTION OF WORK: 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: ___________________ 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. 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 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 structurewhich is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit suchstructure. 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 workin 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, consultwith lender or an attorney before commencing work or recording your Notice of Commencement. Rev. 5/6/20 ___________________________________________ Signature of Owner/ Lessee/Contractor as Agent for Owner STATE OF FLORIDA COUNTY OF_________________________________ Sworn to (or affirmed) and subscribed before me of ____ Physical Presence or _____ Online Notarization this ____ day of _________________, 2020 by ___________________________________________ Signature of Contractor/License Holder 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. Personally Known _______ OR Produced Identification ______ Type of Identification Produced__________________________ ___________________________________________________ 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 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 Slfi?l Efk"f#�t(iF Gft"1Al liYf~f€fVfiTkf)f� ' , , DESIGNEIR/ENGINEEIR: Name: Not Applicable STATE OF FLORIDA U MORTGAGE COMPANY: Name: _ Not Applicable Address: Swoln to (or affirmed) and subscribed before me of ✓ Swgrfi to (or affirmed) and subscribed before me of Address: I/ Physical Presence or Online Notarization City: Zip: Phone State: �1t 04crc G alb City: Zip: Phone: State: FEE SIMPLE TITLE HOLDER: Name: _ Not Applicable Personally Known OR Produced Identification r BONDING COMPANY: Name: _Not Applicable Address: Produced -�+Gl— s�� t«1� Address: i natur f N Public- State of Florida) SID BECK City: TARY PUBLIC Commission No.&G ((6g � vV-11- c $TATE OF FLORID City: Comrrd: GGf 45988 Zip: Phone: Zip: Phone: Expiresl) 5Expires 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 attorrMy before commencinR work orrecordinavour Notice of Commencement. C � SignauOwner/ LeVseloontractor as Agent for Owner Signa re of ContractoiijLire Holder STATE OF FLORIDA U STATE OF FLORIDA COUNTY OF ` . -141K COUNTY OF Swoln to (or affirmed) and subscribed before me of ✓ Swgrfi to (or affirmed) and subscribed before me of Physical Presence or Online Notarization I/ Physical Presence or Online Notarization this _L day of � .2020 by this day of /�lw 2020 by �1t 04crc G alb C Tl� Name of person making statement. Name of person making statement. Personally Known OR Produced Identification r' Personally Known OR Produced Identification r Type of Identificatiory, Type of Identification tiL Produced Produced -�+Gl— s�� t«1� S��•G3� si.L Dec1L Sign Notary Public- State of Florida ) SID BECK i natur f N Public- State of Florida) SID BECK Commission No. GA14Sr. b'!'< {NOTARY PUBLIC TARY PUBLIC Commission No.&G ((6g � vV-11- c $TATE OF FLORID �qTE OF FLORID Comrrd: GGf 45988 0mmyf GGt45988 ro Expiresl) 5Expires 9125/202 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev.