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Home My WebLink AboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Dater —a ��,� Permit Number: ST. LC.ICIE OWNT�Y Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential PERMIT APPLICATION FOR: ON E: "_ ,\ �� Address: _��CCS c -,.:D A 'o Property Tax ID #: _) 0(�) Site Plan Name L Lot No-�3a 1 `i a A � p � �` � 1 Block No. Project Name: _J"J r�x.t New Electrical Meter Second Electrical Meter Additional work to be performed under this permit —check all that apply Mechanical Electric _ Gas Tank _ Plumbing Gas Piping _ Sprinklers Shutters _ Generator /windows/Doors Pond _ Roof Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction: $ ` �� Utilities: _ Sewer _ Septic Building Height: Name: — i,.)"o.�c Address: o ")-)q� city:'; C State. Zip Code:b -k< `k Fax: Phone No. E-Mail:'r_ ��i v2C �Q Y`C�c'.. -C-6m Fill in fee simple Title Holder on ne)t page ( if different from the Owner listed above) Name: \ Jr—'a-v Company\X�'. V—A' �v �� .� �� YAC._. Address-�A(Y) \A City:`� L ,_. 1.?_1 State<— Zip Code::��XA C5 Fax: Phone No �CSc_ \ E) E -Mail \jj _,-D�Y'\G yy\-Q can State or County LicenseeC \ `� t a __._...,. ,,.... _ .,,...-' I'1—, a n� %.vnvcv IwLice ul Lummencement Is requirea. If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required. DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: Applicable _Not Name: Name: Address: Address: City: State: City: State: 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 you intend to obtain financing, consult with lender or an attorney before commencing work or recording our Notice of Commencement. Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE COUNTOY STATE OF F�� OFO a,` �QC� COUNTY O G�, 1^^ Sab**'r'n to (or affirmed) and subscribed before me of Swbrn to (or affirmed) and subscribed before me of Physical Presence or Online Notarization thisQ2 day of t)gz e�vS l 2020 by ✓✓ Physical Presence or Online Notarization _ , this day of 2020 by Name of person making statement. Name of person makin�stement. - Personally Known _ OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identification Pr uced P (Signature of Notary Publi LA Signature of Notary r^� ROBIN GUNDERMAN Commission NOG 6 3`� :Not X g bloc -State of Florid sion # GG 354256 %At 1/' ROBIN GUN:DEMAN °`O�rPDj��- otary INqf FtondC ommission Noc (o lon a - Commission Expires 14 2023 _ ommiss on54258My ;; PcJul %,�oF,My Commisspires REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.