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HomeMy WebLinkAboutBuilding permitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: O Building Permit Application 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 APPLICATIONPERMIT • IRWIN Address: I m N& DVV- 1�ST1E_6irst W(.iIZEL-1 2yG1� � Property Tax ID #: 2i l 4 - S b0 - ma f CUD -GI Lot No. 4 Site Plan Name: 2� Block No.4(O Project Name: MLICY)oI,e(,�"On �- OV'�-T w�l�� / ' '�AI' V M A..1, `1-(n uA-. z5 X*TrLL.*V' r4E70 ' ruar- 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/Doors _ Pond Electric Plumbing _ Sprinklers _ Generator L�_ Roof Pitch Total Sq. Ft of Construction: Z2 Cost of. Construction: $ t 4 as'b Name t4Lcha-e. Sq. Ft. of First Floor: 17RC�Oc-,,r � Utilities: —Sewer —Septic Building Height: �_ Address: (Z->q PG City:?O-�r W(ku Stated L.— Zip Code: 34a$3 Fax: Phone No. E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) Name: 'no-Jk TA Company:`c— Address.-Jl91--A 5,0 Lat( fq- 'cW City:liTr -'-r"fisj- CU.UI.k, Stater L Zip Code: 39Ct9_2-_�o Fax: Phone No E-Mailrf'C` State or County License C& 'J 12,0� 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 Name: Address: City: State: Zip: Phone FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: Address: City: Zip: Phone: MORTGAGE COMPANY: _ Not Applicable Name:_ Address: City: Zip:. Phone: BONDING COMPANY: Name: Address: City: Zip: Phonc State: Not Applicable 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, f , walls, si s, screen rooms and accessory uses tojCornon-residential WARNING TO OWNER: Your allure to Record; Notice of Commencement resp ing twice for improvements to your of Commencement m e reco' the public rec s St. Lucie County osted on the ' e befor a first inspectio ou into obtain fina ng, c suit with IPnd nr an attnrnpv h r _ commencing ork or recording vour men ent. ure of Owner/ Lessee/Contractor as Agent for Owner Sign of Contractor/License Ho e STATE OF FLORIDQ, Lc STATE OF COUNTY FLORIDA C— 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 Physical Presence —or or Online Notarization this 12 day of ©C T, 1:3E V 2020 by this M day of ©GF� 2020 by Name of person making statement. Name of person making statement. Personally Known OR Produced Identification Personally Known OR Prod Identification Type of dentifcation Type of Iden ific tion Produ a (_ ;cedd Produced (Si nat re of Notary ub�' �$�at�gIpGiS�t -(ate of Florida (Si tur of Notary P Il�c a °Notary ubli teofFbrida ADOLI MIRONCilUK Commission No. o MyComm�, i5098831 04 / 1 : ADOLI MIRONC UK Commission No. Q Mycomr{ 098831 ora xpires o�po Expires 0 ! .7/2021 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Kev. 5/ b/ LU