HomeMy WebLinkAboutBuilding Permit AppAll 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
PERMIT APPLICATION FOR:
Address: _ l j No"
Commercial
Residential
Property Tax ID #: scl - b(.0
Site Plan Name: Lot No.
�"
Block No.
Project Name:
New Electrical Meter Second Electrical
Meter
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: S - -
q. Ft. ®f First Floor:
Cost of construction: $ F-7 $54
�. Utilities: Sewer � Septic Building Height:
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 C� mrnencement is required,
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DESIGN ER/EN GIN EER:
Not Applicable
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MORTGAGE• COMPANY.
Name:
at Applicable
Address.m
Name:
Address
City; �State:
zip:Phone
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City. -�- Stag.
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Zip: Phone:
�� SIMPLE TITLE �iol,[��R:�Z,Not
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QONpING COMPANY. of Applicable
Name:
Name:_
Address:
Address:
City:
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city:
Zip: __- _ Phone:
Zip: Pho e• n.
owfu rR / rnKITD A rT'r,%o n rri rot it
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rit vl" v i i : Appiicauon 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
which is in conflict with an applicable Ho � p the subject structure
structure. Please consult any
hpypour Home �w�ers AssnGl Association rules, bylaws or and covenants that may restrict or prohibit such
n 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 respectserfor
in accordance with the approved plans, the Florida Building Codes and St, Lucie Count Am p ' p m the work
y Amendments.
The following building permit applications are exempt from undergoinga full concurrent r
accessory structures, swimming pools, fences walls sin Y review: room additions,
signs, screen rooms and accessory uses to another non-residential use
WARNING To OWNER: Your failure to Record a Notice of Commencement
improvements to yourproperty. A Notic e of Commencement must be recorded in the public records of St.
jobsite Lucie County and posted on the before the first inspection, If
Wit � er or an a be fore c p you intend to obtain financing, consult
ommenclnp, work or recording your N�c of Commencement..
Sig . of owner/ Le see/Co actor as Agent -for owner
STATE of FLORIDA
COUNTY OF
IAEl
Swo to (or, affirmed) and subscribed before me of
Physical Pretence or� online Notarization
this mph day of
2020 by
Name of person making sta„temen:t
Personally Known CAR Produced Identification
Typ of Identification
'rod ced
(Signatu e f N ry ablic- S ate Florida
.6 � �HANNON DEPUE
�� ®�` MY COMMISSION �#GG026573
9 ;a.:
Commission No, ,9
: ( �S: SEP 05, 2020
Pillow Bonded through 1 st State Insurance
REVIEWS I FRONT
COUNTER
DATE -
RECEIVED
DATE
COMPLETED
v. I7(Y--
ZONING I SUPERVISOR
REVIEW i
I REVIEW
Sign'�rt�e of Con'tractar icense older
STATE OF FLORIDA 1A
COUNTY off,
Sw n to (or affirmed) and subscribed before me of
Physical Presence or online Notarization
this day of 2020 by
Name o" person making sta.tem t.
Personally Known OR Prod _ aced Identification
Type of Ide ification
Produc
(Si9 ature of tary Public- S
Commission N , .
PLANS VEGETATION
REVIEW REVIEW
'.via a , HANNON DEPUE
I& COMMISSION #GG026 7
SEP 05, 2020
Bonded through 1 st StAtO MAN@
SEA TURTLE � MANGROVE
REVIEW REVIEW