HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE CO
Date:"
FOR APPLICATION TO -BE ACCEPTED
Permit. Nui
W''Am� �
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Building Permit Applii
Planning and Development Services
Building and Code Regulation Division Co mmercial
2300 Virginia' Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax:. (772Y 462-1578
PERMIT APPLICATION FOR:
Address:', 5 SaC
Property Tax ID #:
Site Plan Name:
Project Name:
MIT
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Lot No.
Block No.
New electrical Meter Second Electrical Meter
Additional work to be performed under this permit— check all that apply-
-Mechanical —Gas Tank Gas Piping Shutters
Windows/Door's Pond
Electric Plumbing Sprinklers Generator Roof Pitch
Total Sq.Ft of Construction: A� Sq. Ft. of First Floor:
Cost of Construction: $ Utilities: —Sewer _Septic Building Height:
Name V-4 , .. V
Name:--&CfM
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Address::, 0 qmaZ�#O Company:1,116`00
City: s-s� Iva rltl�o,
State: Adclre
IZLI�ra
Zip Code: Fax: City:
State:
Phone ' No.— Zip Code: Fax:
E-Mail: Phone No
Fill in fee simple Title Holder on next page if different E-Mail;E�ox*
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.
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OWNER/ CONTRACTOR AFFICIVIT: Application is hereby made to obtain a perm
(certify that no work or'installatiorr has commenced prior to the issuance.of a permitperm St. Lucie County makes no representation that is granting a permit will abt aws oit e e ants -that may ruild estrictorp ohibit s ch
which is in conflict with any applicable Home Owners Association rules,. y, y
Please consult with your Home Owners Association and review your deed' -for any restrictions which in apply -
structure.
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.OWNE;R:-Your. failure to Record a Notice�of Corramencement may result m paying twice for -
improvements to your property A.Nofice of-Com'menc`ernent must fje recorded• in`the public. records; of SI '
Lucie County and posted on the obsite' before the first inspection. If'you Intentl to obtain.financing, :consult
�IVfifh�ntler or an attornaefge commencing work o cor ng your Note c�f�omynencement.
for Ow r
COUNTY OF_
Swoo to. (or affirmed) and subscribed before me of
ysical Presence or Online Noprization
this W? day of _ u20,o" by
few -al mioer
Name of p rson making s tem,
Personally Known OR Produced Identification
Type of Identification
Produced [,[_Y_►
STATE OF FLORID � `✓
COUNTY OF`::A�'�--� .
Sworn to (or affirmed) and subscribed before me of
t/ Physical Pres ce or Online Notarization
this ? ay of 20�iy'
err•
Name of p son making Wtement.
Personally Known' OR Produced Identification
Type of Identification 1
Produced I C
A i
• 1 .I�) •
(Signature of N ary Public- State of Flon (Signature of No Public- State of Florida )
Y •�;Y P pU REY B. HUPutf'� �R
Commissi lolglPEY
� B. Hu�IPHF§�� Commissiori ��• •• n ISSIONi#G'G�
M gStON G 2023 *= 2023
*° ; March 6, mi EXPIRES: March 6, II
'* EXPIRES S
sm• :o. ;fir`.-,.•
Te •' Bonded T ru oFF�° Bond dThru o ry ° '
REVIEW ZONING SUPERVISOR PLANS V TURTLE MANGROVE
COUNTER REVIEW ; , REVIEW REVIEW REVIEW REVIEW REVIEW
RECEIVED
DATE