HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE'I O MUST BE COMPLETED FOR -APPLICATION TO -BE ACCEPTED
Date:- �'�"�� � ,
Permit: Nui
Building Permit Applica
Planning and'DevelopmentServices
Building. and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772Y462-1578
PERMIT APPLICATION FOR:
Commercial
AUG 4 2020
i ;�i� i al�n'�y, FL.i.dential' v-
Address: ���Z L-y✓�r,.� ., o� �Q��
PropertyTaxlD#: '24Z( Lot No,
Site Plan Name: Block No. Vl
New electrical Metery Second Electrical Meter
Additional work to be performed under this permit— check all that apply:
A + P_ .
_Mechanical _ Gas Tank _ Gas Piping _ Shutters — Windows/Doors _ Pond
Electric _ Plumbing _ Sprinklers _ Generator - Roof Pitch
Total Sq. Ft of Construction: 1_/Sq. Ft. of First Floor:
Cost of Construction: $ Z ,30 Utilities: .—Sewer —Septic Building Height:
Name A
Address:_yfoL L:,vA,9y J. Awe
City:- F-...k State: YL
Zip Code:y f8 2 Fax:
Phone No. 21S -ZZ — 9
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from -the Owner listed above)
f —h.e -Z
Name:
Company:
Address:
City:, State:
Zip Code: Fax:
Phone No
E-Mail
State or County License
y, „q„ Cl nE:%_vnur_u nonce or commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
OWNER/ CONTRACTOR AFFIDVtT: Application is hereby made to obtain a permit to do the work'and installation as indicated.
I'certify that no work orinstallation has commenced pridr to the issuance,of a permit.
;
St. Luc'i'e County makes no representation that is'granting a permit will athor and c ve ants that may restricutborproFiibit such
which is in conflict with any applicable Home Owners Association rules,bylaws
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; ip: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 fo.r.
improvements fo your property A Notice- of`Commencement must tie recorded In'the public records, of St..
Lucie County and posted on the )obsite before the first inspection. If`you Intend to obtain`finailcing,'consult
with lender or an attorneybefore commencingwork or -recording your.Nptice of Commencement.
vner/ L e/Contractor as Agent for Owner
STATMF FLORIDA _
COUNTY OF `
Swor. to (or affirmed) and subscribed before me of
Physical Preser a or Online Notarization
this QY, day of 20 -by
0 ,-� XLc.. i !GC �.
Name of person makirigsttatemenL.
Personally Known -OR Produced Identification
Type of Identification
Produced
M--
r
G
(Signature`of Ncqry Public- State of Flori a) .
Commission' No. lF� _AUDREY BI�IUF1747HKhY
'�, MY COMMISSION # GG 300817
Thru Notary Public
REVIEWS I OUNTER REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLET
Signature of Contractor/License Holder .
STATE OF FLORIDA
COUNTY OF
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this day of , 20_ by
Name of person making statement.
Personally Known OR Produced Identification
Type of Identification,
Produced L '
(Signature of Notary Public- State of Florida )
Commission No. (Seal),; •
PLANS VEGETATION ' SEA TURTLE MANGROVE
REVIEW REVIEW ��REVIEW REVIEW