HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE. COMPLETED FOR APPLICATION TO -BE ACCEPTED
Date: �'� .,.� U� Permit;Number: �Uod G 6 7�
- BuildingPermit A licatio . AUG - ` �020
p _
Planning and Development Services _
Permitting '11�,�iJi�1"tment !.
Building and Code Regulation Division co*m 71erClal Resdefltlai FL
2300 Virginia Avenue, fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772)• 462-1578
PERMIT APPLICATION FOR:
t
.. a Nd:e_.:M1a t w •pi-.r.. _�ti. 4 - r � i#+.�- �1i5��..`y R:.:±efr_.!. rye,•.'. .Y Gr ���s
Address:
Property Tax ID #: ID
Lot No.
Site Plan Name: Block No.
Project Name:
mv Y s .
h. t '.-% t
... �a � tr ...L.:�... S
f � �� '� 4»` 5•..� ti � �� } G 'Ci, � ��u33 "5;
�-��
6 G
New electrical Meter Second Electrical Meter
a
4:��. ��
, ..n:v,'�.o;.x.•sea G"a. ...•ir k:✓�� iAi.'fis. _.�i.,4Wki k'i" ',.:.Y.arvx�'' ss,,,,",, ,j;.
�.''��'+h�� Nv��YN�iS�v "'Si t.,.-th�`'�NN�"� +�"':.,n��^'i^'���`:'�' �y�a
... n 4 '....r>i..:e(i t�. Md' Fi 0.4>�M;..s�... �.n.S S.J..
..:�•
:%.:��k n3= W ?'. .54�.1. p}h _. li.+E�iC?:u�.: '�M1_
Additional work to be performed underthis permit— check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Door's _Pond
_ Electric _Plumbing _Sprinklers — Generator Roof ��/r! Pitch
Total Sq. Ft of Construction: c�-3 p Sq. Ft. of First Floor: -7- v Uy
i
Cost of Construction: $ o /z/ G° Utilities: —Sewer _Septic Building Height: fl
,� - '•7 x ({�1vn „�,.' }!�C {�',',�y 1,�. '''. c r 1�.:r-�» �,, v" ry, 1 Y r m 'u ^.w --6 rM.�.k• �•..�'y �,y�
O:;aLK�rYVa�4� ?',. t. �tIr_-G �,Li'({�A4 �) ,n kt.'F�.5� 9 7.. .s Il •} '0?A=,I:1�.ftw..1. YY}��..R..iyk
i►i, Ora �'�iC"'""" r ql•'w.'�'�.. `y. z 'f `kd �7y 3i �. n i�.an• s.., y,} t�'^�:
^x1Yi.'i Fay !' i.11E5��'a TZ'4%�+5`U?S [-
+
.O
hl 2i 5{ '�1:xv�•i^�'4
.+.„ .} ..,n..s ia�x .,.. i.. t...k ... ... ,.,.... .'.... ,.: +x.. .: �.. c:. .3.;L ,a`a,`^"„�',•. f.•� 'N"�ss:k `�i.;i�`.?Ted'.
Name' _r r
''�.l . �I/c' .� Name: �
Address: :�0: . •, � .. - _ ,
City: ,.. ^w.,r....�f' State ` �?D
Zip Code: Fax: y-. r Stat
Phone No. /, ` 3 l �- oti2• 24 Zip Code: _ 3 Fax:
E-Mail: Phone No 2 7,�
Fill in fee simple Title Holder on next page ( if different E-Mail .ifC9i
from -the Owner listed above) State or Cnse C. ��"h% y
:ri
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.
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made -to obtain a permit to do the. Work.and installation as indicated.
f certify'that no.Work or; installation has commenced prio`r-•to the issuance:of a permit ,•
build
St. Lucie coup makes no representation that is granting a�permit will abthori or andP co enhold tre
hat may re trio or pro b t such
which is in conflict. with any, applicable'Home OWners•Assoclation rules, y
structure. Please consult with.your,Home OwnersAssociation and review-your'deedlfor any restrictions which may apply.
In consideration of the•geanting of this requested permit, lAo hereby agree that I Will, in.all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie Cou,ty 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 or
improverrie"nis to your property: A Notice, of Commencement must be recorded_ir1'the publlc.:records of'St.
Lucie County'a id ;posted on the yobsite before the first inspection.) If you Intend to "obtain. financirig, consult
with lende�an attorney before commencing work or recording your otice•of Commencement.
Lessee/Contractor as Agent for Owner
Holder .
STATE FLORIDA STATE FLOF�DA
COUN OF :O0ON OF:.t-�lc��`
Sworn o or affirmed and subscribed before me of
Sworn to (or affirmed) and subscribed before me. k ph sical Presen a or Online Notarization
_ Physical Presence or Online Notarization y , 20ad b
this 'ice . day of , 20aa by this a— day of CS �'v y
.mac ar
Name of person making statement. Name'of perso�makin�g
tement.
Personally Known OR Produced Identification Personally Known OR,Produced Identification
Type of Identification
Type of Identification produced
Produced
(Signature of Nota . Public- State of Florida) . (Signature of Nota P
DEANNA MARIE GVENS
MY=�j Q� # GG 022023
�(u d, -a d ..••'S "•• Sea EANPIAMARIE GIVENS C mission No. o EXPIRES esdmber 16, 2020
Commission No. P'' : ( g
MY COMMISSION#.G00220 3 i '%Po�;•'� Bonded ThruNotaryPubltaUndeiarrlters
EXPIRES: December 16, 202 , •,••,
11•.•�
REVIEWS FRONT • R , PLANS" VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. .
I .- .