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HomeMy WebLinkAboutBuilding Permit ApplicationM 1' J All APPLICABLE INFOMUSTBE COMPLETED FOR APPLICATION TO BE ACCEPTED / Date: ptL ��,0.- �G`O Permit Number— Building Permit Applicatitid&tiAlud JUN ©v 2020 Planning and Development Services mittllIQ L%r•,:�rti-rent Building and Code Regulation Division Commercial R9mi rlr FL 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: Address: Property Tax I D #: Site Plan Name: Project Name: it, b 2- r New electrical Meter Second Electrical Meter Additional work to be performed under this permit- check all that apply: _Mechanical _Gas Tank _Gas Piping _Shutters _ Electric _ Plumbing _Sprinklers Total Sq. Ft of Construction: PG Cost of Construction: $ l gao `— _ Generator Sq. Ft. of First Floor: Lot No. Block No. otIp- Windows/Doors _Pond Roof Pitch Utilities: _Sewer _Septic Building Height: ��++p y �+ "iy }rS"^�u `•' , T 3 w ,mar` Ku'S t"'h s-2' nc A'i-N' TGtI+ ps � . S�( 4 3 3 �$ r a t" i "dun .$t m *}TME IUT OR t 'O GR� "'F �",';R�T . °ry -gar_ cs .�.., s.,.: .:8.,. a c'vgz? ,t .. p n . h .. w. v Name ` Name: C.. AlPferlz Address: `'i�' O i �% (f �`RR r Company*-V. City:9 --7- .... _- P Stater Address "State:F�- Zip Code: Fax: City: -- Phone No. 771 IC 3 Zip Code: ?_ -� : 7 L Phone No E-Mail: Fill in fee simple Title Holder on next page ( if different E-Mail P QA J-7Q dv` 6m n (1. CG/Y� State or County License( from the Owner listed above) If value of construction is 2500 or more, a RECORDED Notice at. Commencement is regwrea. - / V -� if value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required. O(, DESIGNER/ENGINEER: Not 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 that or such which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants may restrict prohibit 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 lobsite before the first inspection. If you intend to obtain financing, consult with lender or an attorneybefore commencingwork or recordingo Notice of Commencement. ev. _ MORTGAGE COMPANY: _Not Applicable Applicable Name: Name: Address: Address: City: State: City: - State: Zip: Phone Zip: Phone: PEE SIMPLE TITLEHOLDER: _Not Applicable .BONDING COMPANY: _Not Applicable Name: Name: Address: Address: City: City: . Zip: Phone: Zip: Phone: Sig ature of caner/ Less e C ntractor as Agent for Owner Signature of Co a c e H der . STATE OF FLORIDA STATE OF FLORI COUNTY OF sf (Gcr'r. COUNTY OF Swqrn to (or affirmed) and subscribed before me of _ Swo to (or affirmed) and subscribed before me of hysical Online Notarization bb�� Physical Presence or Online Notarization Presence or this _ d'ay of . 20_ by this _ day of 20_ by Name of person making tatement. Name of person mak�in/g� atement. Personally Known OR Produced Identification. Personally Known ri OR Produced Identification Type of Identification f Identification p d - Produc d (Signature o ota u tatgeVny¢eha�ld�+�reaFlmsee . (Signature ormotafy Public -State of Florida) . Neury►ueue a CommissidR o F�al Commission No. � -4 � Mrgbmm�non�Oe��55pp��o��gar,2me . p�opppy�a 1 aszo1a tMpireo�iou2oza REVIEWS FRONT. ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW 'REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED