Loading...
HomeMy WebLinkAboutBUILDING PERMIT APPAll ARP77�� OMPLETED FOR APPILiC4T10N TO BE ACCEPTED Date: Permit Number: p L�C[L Planning and Development Services Building Permit Application Building and Code Regulation Division Commercial Residential V/ 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: w i C�LUS PROPOSED IMPROVEMENT LOCATION: Address: Property Tax JD#: Lot No. ` Site Plan Name: Block No. I Project Name: DETAILED DESCRIPTION OF WORK: fyv 501111111125: M 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 _ Windows/Doors Electric Plumbing _Sprinklers ,Generator _Roof Total Sq. Ft of Construction; Sq. Ft. of First Floor: _ Cost of Construction: $95 11_� c Utilities: _ Sewer i Septic — Pond Building Height: Pitch OWNER/LESSEE: CONTRACTOR: Name Name: Address: iL W City: State:_ Company: Address: 'Zip Code: Fax: -`� City: -0el. Cn A f) Stater Phone No. Zip Code: %,1!9� Fax: E-Mail: Phone Noll '" 1' S-5- 40--1 Fill in fee simple Title Holder on next page ( if different E-Mail S437kS1 tX m v*_� r State or County License from the Owner listed above( IT value or construction R Z5W 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. _C0NSTRUCT10N:LIEN L W ■v� Name' MIJWlcaaie Address: City: Zip: ____ Phone State: FEE SIMPLE TITLE HOLDER: — Not Applicable Name: Address: City: Zip: Phone: OWNER/ CONTRA =ORMAT�ON: MORTGAGE COMPANY: Name: Not Applicable Address: city: Zip: Phone: State: BONDING COMPANY: —Not Applicable Name: Address: City: ZIP'—. Phone: CT©K AFFIDV j: 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 enfllct with anY applicable Home Owners Association rules, bylaws or andcovenants 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 exemptfrom 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: Y failure to Record a Notice of Commencement may resu gpan twice for irnprovernent to yo r p operty. A Notice of Commencement mu a reco He in the public records of St. Lucie Count a p ted n the jobsite before the first inspectio . If ou i end obtain financing, consult with lender r a Lorne before corrtmencine work nr rPrnre4in _ .. _ _J Signature Agent for Owner I Signature STATE OF L RIDA �-''' COUNTY F 1 QY1 1�irZ S n to ( rmed) and subscribed before me of _�Ph r ce o Online Notarization ibis jdayof 2020 by Name of person making statement. Personally Known ____,K_ OR Produced identification Type of Identification Produced t"5110Lure ar ryotalay Public- State ai Commission No. REVIEWS FRONT COUNTER Z v,( . MONei/� Y 2% weary ao•,. STATE Sworn to r armed) and subscribed before me of P�s al res c or Online Notarization th s �Jd of 2020 by of person making statement. Personally Known ---V— OR Produced Ide ti cation Type of identification Produced { ign ure No€a Notmy Public ftic of Florida Commission No, Karl M R�� a O5MM024 VEGETATION EW RE EW $ REV EW TURTLE REVIEW