HomeMy WebLinkAboutBuilding permit app All APPLICABLE INFO MUST BE COMPLETED APPLICATION TO-BE,ACCEPTED
Date: Permit.Number:
RECEIVED
AUG. a 1 2020
Building Permit Application rmi ing'E) rtment
Planning and Development ServicesLucie County
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax: (772)•462-1578
PERM{TAPPLICATION FOR: `>C�
Address: W i a� C
Property Tax ID#: 7)�� (bC '0'?-" 7 -1� ) Lot No.
Site Plan Name: Block No.
Project Name:
s
1
New electrical Meter Se and Electrical:Meter
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Additional work to be performed under this permit—check all that apply:
`M-echanical _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:
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Name Ct cd 1 ^ A Name:
Address: Company:
City: Stater Address:
Zip Code: 'Fax: City: State:
Phone No. _:�__ID 5�11�'S�s� Zip Code: Fax:
E-Mail:Ggs-VIe . S- L(a L' G �A()\,Ld 66VA Phone No
Fill in fee simple Title Holder on next page ( if different E-Mail_
from-the Owner listed above) 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.
ii
.DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address: -
City: State: City: State
Zip: Phone Zip:- Phone --
FEE SIMPLE TITLEHOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address.-
City: City:
Zip: Phone: Zip: Phone:
OWNER/CONTRACTOR AFF16ViT:Application is hereby made to obtain a permit to-do the work and installation as indicated.
(`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..
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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 yourpi-operty. A-Notice-of Commencement must be recorded.irrthe public-records of St.•
Lucie County and posted on the jobsite before the first inspection. If you intendto obtain.financing, consult
with (ender or an attorney before commencing work or record ing our Notice of Commencement.
gnature of Owner/ essee/Contracto as Agent for Owner Signature of Contractor/License Holder .
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF L�_tCte_— COUNTY-OF:
Sworn to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
Physical Presence or Oniine.Nota ization Physical Presence or Online Notarization
this �JI day of �� ,20�y this day of 20 by
CCG r0�
Name of person making statement. Name of person making statement.
Personally Known -OR Produced Identification Personally Known OR Produced Identification
Type of Identifica ' Type of identification,
Produced $L (:��_ Produced-
(Signature of Notary Public-State o (Signature of Notary-Public-State of Florida)
ELLEN
�,0•(RRYP,,e,, VA
Commission No. =: "State of Florida- miss' n No. (Seal)
=a Commis N tary Public
M•y Commissio 2700�9
_ lulle 22 2022
REVIEWS FRONT ZONING SUPERVfSO VEGETATION SEA TURTLE MANGROVE I
COUNTER REVIEW; REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.