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HomeMy WebLinkAboutBuilding permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: a Permit Number: a�d$�d331 RECEIVED �* M Building Permit Application ST. Lucie County, Permitting 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 PERMIT APPLICATION FOR: Address: 6'j-"J ©Q k A- env~ Property Tax ID #:- 13 1) 0Ll -7 12 0002 60io -9 Site Plan Name: Project Name: New electrical Meter Second Electrical Meter. Lot No. Block No. Additional work to be performed under.this permit- check all that apply: _Mechanical Gas Tank' Gas Piping Shutters Windows/Doors — Pond J/Electric —plumbing _Sprinklers' —Generator, '✓Roof '.,Pitch'... Total Sq. Ft of Construction: gdy Sq. Ft. of First Floor: Cost of Construction: $ L/ 5, o oa Utilities:140­ Sewer W4`Septic Building Height: Name R&y-4L&.. yyleI vrl It. Address:'oQ1K'" %'w{ r t a City: FT-11- "c $: ,.... State: Zip Code:. "3 Phone No. "7-72 '33; 5'6)6 E-Mail:-eivelle Q melvilic -'Pe, eo� Fill in fee simple Title Holder on next page ( if different from the Owner listed above) Name: /1'1i'c4"I- lit -Fr&, c4sw Address $ 0 l6t %i 'orr�t .�F � i i7"L city;'- i��r +� State: �- Zip Code:;17Z Lfb�_'Z 373 Phone No -774 E-Mail d 1fr"e,& W§ a6LCon1 State or County License 2a a10U 3 (0aJ 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. DESIGNER/ENGINEER: Not Applicable MORTGAGE COA Name: Arckl l--t&6%zr- n Name:_0.1. Address: 'Roto Address: City: P � State: City: Zip: 3y4 s0 Phone Zip. FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPA Name: _ Name: Address: Address: City: City: Zip: Phone: Zip: P OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a-permit,to 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 permi' which is in conflict with any applicable Home OWners,Association rules, bylaws or and cove structure. Please consult.with.your Home Owners Association and review your deed for an) In consideration of the granting of this requested permit, I do hereby agree that I will, in all in accordance with'the approved plans, the Florida Building Codes and St. Lucie County. Am The following building permit applications are exempt from undergoing a full concurrency i accessory structures, swimming pools; fences, walls, signs, screen rooms and accessory use WARNING TO OWNER: Your failure to Record a Notice of Commencement may improvements to your property: A- Notice of Commencement must be r Lucie County and posted on the jobsite before the first inspection. if YOL with lender or gn attorney h fore commencing work or recording ypl I Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of cc STATE OF FLORIDA STATE OF FL COUNTY OF �k• �-���� COUNTY OF MY: Not Applicable State: ne: r: Not Applicable io the work and installation as indicated. holder to build the subject structure cants that may restrict or prohibit such restrictions which may apply. respects, perform the work ?view: room additions, to another non-residential use result. in, paying twice for !corded. in the public records. of St._ intend to obtain financing, consult otce of Commencement. _ Holder . Sworn to (or affirmed) and subscribed before me of Sworn to (or affirmed) land subscribed before me of Physical Presence or Online Notarization Physical Presence or on Notarization this � day of �+ �A , 20?� by this day of 4�y , 20ki� by Name of person making statement. Name of person Maki rjg statement. Personally Known OR Produced Identification. Personally Known — Type of Identification Type of Identification Produced �' L �- Produced__ (Signature of Notaro Public- State of Florida) . (Signature of Notali s Commission No.#� 023 Commission N. �'' ►,,,.:, CpMlA15SION y8� 16,�20 gw; .� _•ti+R."94t•'•._ MY _.�.nAceln ...aowtile� , REVIEWS I oe, PLANS C ' REVIEW S I V REVIEW REVIEW I REV] RECEIVED DATE COMPLETED TV. 5/6/20 OR Produced Identification lic- State of Florida ) DE1��IE 23 MY coMMISS10N # oYPIRES: Decem 14, 2020 MANGROVE REVIEW I REVIEW