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HomeMy WebLinkAboutBuilding permit application ,AII APPLICABLE INFO MUS�BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: C, �� Permit Number: nn i Q .� i Building Permit Application Planning and Development Services Building and Code Regulation Division Commercial Residential 2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772)462-1578 I PERMIT APPLICATION FOR: �l Lf- Re fOc) I PARQPOSED IMPROVEMENT LOCATION: Address: 1A3 1AA 0�r5 Te r Property Tax ID#: -3 ,� 5 � ©�a Lot No. Site Plan Name: Block No. Project Name: DETAILED DESCRIPTION OF WORK: _ �2(c�J)' �,(�, . Cry I Pew F 1 14 31'7— P- 10 SC C---y c" Ll New Electrical Meter Second Electrical Meter ,CONSTRUCTION INFORMATION: Additional work to be performed under this permit-check all that apply: _Mechanical _Gas Tank _Gas Piping _Shutters _Wind. ws/Doors _Pond _Electric _Plumbing _Sprinklers _Generator Wind Pitch Total Sq. Ft of Construction): Lt 0 60 Sq. Ft. of First Floor: Cost of Construction: $ (2 ,pa Utilities: _Sewer —Septic Building Height: .OW- NER/LESSEE: CONTRACTOR: Name NO. I I`n �4 ( I Name: S non �I c (r cC � Address: 2 cr C e Co C3 U� s man � T Company: � City: 4- we,; State:EL Address: U Al-COVIe ew Zip Code: 39Rg� Fax: lY A City: 4 ,,,_ C 1, State: i' Phone No. T10- .51111- 60ci j Zip Code:Sltq°t �� Fax: 7 E-Mail: Phone No T 2- 336 3C-9-y Fill in fee simple Title Holder on next page(if different E-Mail c7-I eq-P_ from the Owner listed above) State or County License CGC ) 3 Z G 9 Z l7 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. a SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: , DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: Not Applicable Name: Name: Address: Address: City: State: City: State: I Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable' Name: Name: Address: Address: City: City: Zip: Phone: 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, 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 jobsite before the first inspection. If yoLjjFrtert4 to obtain financing, consult with lender or an attor ore co cing work or recordin cement. Sign atur f ner/Les /Co s en t for Owne Signature of cto License Hol ST E OF F -STATE OF FLORIDA C F h)A111 COUNTY OF YY1K1n Swoy�i to(or affirme d subscribed before me of Swo�o(or affirmed)and subscribed before me of tV Physical Presence or Online Notarization ✓✓ Physical Presence or Online Notarization this��day of �tw�e� 2020 by this ) —r day of k► 2020 by Name of person making sta ement. Name of person mak70R tement. Personally Known OR Produced Identification Personally Known Produced Identification Type of Identification Type of Identification Produced /j Produced (Signature of Notary Public-State of Flo=Q�';,J; Expires a u e otary Public-State of Florida) Or �MaoFlorida affWrM0MR;i26ion tan Commission No. �,►� (9(�P7,,>20 ►-� %af71pdr i 4 Notary Public State of Carmela Frantantoni y C 5-m-ffi-i fis Rdin-R H u u 18, REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SE x s G Q E COUNTER REVIEW REVIEW REVIEW REVIEW R IREVTE'ar tell, DATE RECEIVED DATE COMPLETED ev.