HomeMy WebLinkAboutHUGES 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) 4621578
PERMIT APPLICATION FOR:
l k0POSEI INPROVEMENT LOCATION:
Commercial Residential
--Y--
Address: Gam` Cc'10q Q L(i
Leal Description: -'t C..t1ci zfcTh-,�.�
if, 6h5 I war to 6 —performed under this permit– cneci
Mechanical _ Gas Tank —Gas Piping
Electric Plumbing _ Sprinklers
Total Sq. Ft of Construction:
c�C
Cost of Construction: $ , i r
Shutters
Generator
Sq- Ft. of First Floor:
Utilities: —Sewer _Septic
Windows/Doors
Roof Pitch
Building Height:
Ifvalue of construction is 2500 or more, a RECORDED Notice or commencement 15 regwreu.
DESIGNER/ENGINEER: _ Not Applicable
Name:
Address:
City: 5tate.
Zip: Phone
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:.
_ Not Applicable
State:
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, l,do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and 5t. 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 roust 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 ens
The forgoing instrument was acknowledged before me
this day of�k 20 by
A C CC cc A V1 Cct"�c
(Name of person acknowledging)
(Signature of Notary Public- State of Florida j
Personally Known �
Type of Identification ih; p "'. CHARLOTTE M.WALTERS
Produced to Commission # GG 921080
xpues ovember24,2023
FO>£° 9or�deQrhru F' Erissaranoe80i1385`7019
Commission No. -
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OFJl-
The forgoing instrument was acknowledged before me
this �kr,� day of .il 20 DO by
-
(Name of person acknowledging)
(Signature of Notary Public- 5tate of Florida ]
Personally Known d uced JdArafficat[on
Type of Identification CHARLOTTE M. WALTERS
Produced '_' =rnmm ssbn#GG 921080
Expires November 24, 2023
,Commission No. Bonded* Fain insurance$
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