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HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION* TO BE ACCEPTED Date:Permit Number: a'coo AUG I Building Permit Applica'ti.onl- Co Planning and Development Services ST. Lucie Co�untyVPermittCli Building and Code Regulation Division Commercial Residenkial, ­ 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 SO fl� A4 PERMIT APPLICATION FOR: V . Aly 15 - & /V ule_ %1_!5A_t i0 tv Address: /070e_Xo_',k.0 Uezvsi-w _41( Property Tak I D #: T. —C/O/— 4000 Lot'No, Site Plan Name: Block No. Project Name: One LAJ 4k,,� Va If C. 04 (L vne6 Npw Flprtrir;;l Mpfpr -qprnnri Flprtriral Meter calewt 6 11 Additional work to be performed under this permit— check all that apply: Mechanical Gas Tank Gas Piping Shutters Windows/Doors Po'nd Electric Plumbing Sprinklers Generator Roof .`Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction: $ Pe- Utilities: —Sewer —Septic Building Height: 151M W., W, N Name 'OAV;� CA, (P '5S Q Nam. Address: 3;X a City: 4v-c)/.,j Aar I< State: _L/A e: Fax:, Zip Code: Phone No. pqaN. E-Mail: &Ay)� e AID A5f Fill in fee simple Title Holder on next page if different from the Owner listed above) Company. Address`: i: City: State:, Zip Code: one No' E-Mail 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. 7DESIGNER/ENGINEER:.._Not Applicable MORTGAGE COMPANY: NotApplicable me'. Name: ress: Address:ty: State: State: City: Zip: Phone Zip: Phone: I 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 which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that structure. Please consult with. your Home Owners Association and review your deed for any restricti w build the subject structure may restrict or prohibit such ns which may apply. In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects .in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments. perform the work The following building permit applications are exempt from undergoing a full concurrency review: r lom additions, accessory structures, swimming pools, fences, walls, signs, screen.rooms and accessory uses to anotier non-residential use WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in improvements to your property. A Notice of Commencement must' be recorded Lucie County and posted on the jobsite before the first inspection. If you intend with lender or an attorney before commencing work or recordiri '' our Notice of paying twice for in the public records of St. to obtain financing, consult Commencement. Signature of own erltssee/Con ctor as Agent for Owner Signature of Contractor/License older STATE OF FLORIDA COUNTY OF STATE OF FLORIDA COUNTY OF, Sworn to (or affirmed) and subscribed before me of Sworn to (or affirmed) and subscribed before me of Physical Presence or Online Notarization this \N day of <k )1 2020 by Physical Presence or this day of Online Notarization 2020 by Name of person making statement. Name of person making statement. Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identification Produced L— Produced (Signature of Nota ARWete.of P MY COMMI toN 1 GG 022023 mber ie, 2020 Commission No. `' �d FWI@ Undtlwftm �a •,,fpTia• (Signature of Notary Public- Sta ( g y Commission No. - a of Florida ) (Seal) ' REVIEWS FRONT" COUNTER ZONING,;, REVI,EW.:.: SUPERVISOR REVIEW ., PLANS •REVIEW VEGETATION REVIEW 5EATURTLE REVIEW MANGROVE REVIEW DATE RECEIVED DATE COMPLETED ev.