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Home My WebLink AboutBuilding Permit Application (2) All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: P.EcEfveb X�:__ a ° ` ° °' Oct 0 5 1010Building Permit Application pp ,mitting Department Planning and Development Services tt.Lucie county 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: PROPOSED IMPROVEMENT'LOCATION Address: "Y000 V r Property Tax ID#: � fl� �p /b�D��2rODI��t(� Lot No. Site Plan Name: y-i�f"2' ` � L/iti+�'� I�AwV Block No. Project Name: DETAILED DESCRIPTION OF WORK New Electrical Meter Second Electrical Meter CONSTRUCTION=INFORMAI"10'N Additional work to be performed under this permit–check all that apply: _Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors _Pond Electric _Plumbing _Sprinklers _Generator _Roof Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: c7 Cost of Construction: $ ,�� Utilities: —Sewer _Septic Building Height: OVV.NER/LESSEE CONTRACTOR: ' Name. Name: Address: T6 SW AWIA Sf. Company:1�"? , City: Stater AddressWIS SP Zip Code:IL44 Fax: City: $z; vim-e- State:�f Phone N// A L o.. � r – Zip Code:��Q Fax: 772,f E-Mail: h J c . A Phone No Ir Fill in fee simple Title Holder on next pag (if different E-Mail from the Owner listed above) State or County License )?&0 G r�i�iiJ 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. SUPPLEMENTALCONSTRUCTION:LIEN..LA1iNlNFORMATION DESIGNER/ENGINEER: V Not Applicable MORTGAGE COMPANY: _ of Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: _✓Not Applicable BONDING COMPANY: V�N_ot 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 ins ction. If you intend to obtain financing, consult with lender or n at prney before commencing work or r cording ur N ice of C mencement. f Signa re of Owner/L ee/Contractor as Agent for Owner S k1ture of CoNlractor/Lichfise Holder STATE OF FLORIDA STATE OF FLORIDA� I C COUNTY OF 5f t U Cl1, COUNTY OF ,A-� SVr'n to(or affirmed)and subscribed before me of Sworn, r affirmed)and subscribed before me of V P I Presence or Online Notarization Ph sical Presence or Online Notarization this Way of r 2020 by this day ofc��lr�nr. 2020 by Name of person making statement. Name of person making statement. Personally Known OR Produced Identification V, Personally Known OR Produced Identification ✓ Type of Identification rL_ Z,y (1 nS e Type of Ide €kation Produced ,051— 0 Produced - L!" 52 c S C�L� IiIIII JJ�A 1'AJ.W=41JL (Signature of Notary Public-State f Florida ) (Signature of Notar < MIRANDA ,�i►p Pio''., State of Florida-Notary Public P derqPm Commission No. 3�"� a-11VERONICACAMPOVEm fission No. `�"= Commissi�6 �� 197974 ,; •*; MYCOMMWON#GG 1230 My Comm. Expires 03-24-2022 EXPIRES.July 2, Asseem Dw M"n Notary Bonded Through _ u REVIEWS FRONT ZONING SUPERVISOR S VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev.