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HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: O l0 - Permit Number: S,Y- Lucm 1 N, 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 PERMIT APPLICATION FOR: C.�QS 4&h-,L PROPOSE QIMPROVEMENT LO Address: F- Property Tax I D #: 454 + 11 - 01019 " 010 .-0 Site Plan Name: r4LrAmdLVt1 (Q 4#u Vc, Project Name: DETAILED DESCRIPTION OF WORM; New Electrical Meter Second Electrical Meter CON-STRUCTI ON I N;FO R M ATION: - - Additional work to be performed under this permit- check all that apply: —Mechanical K Gas Tank _ Gas Piping _ Shutters _ Electric _ Plumbing _ Sprinklers Total Sq. Ft of Construction: Cost of Construction: $ "aboo OWNERAESSEE: Name r Address: 010 Pawl, rzo,, City: State Zip Code: -1 Fax: Phone No. l059 Q E-Mail: rrmrncT r)P4 _ Generator Sq. Ft. of First Floor: Lot No., � Block No. Windows/Doors Utilities: —Sewer _Septic CONTRACTOR: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) Name: Compa Roof Building Height: Pond Pitch Address: City f Stater Zip Code: _ ?W411 Fax: Phone No 1-1a rJba- (0(00 ' E-Mail e Comc) eio, . com State or County License GqLt 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. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION; DESIGN Name: Address City: Zip: — INEER: _ Not Applicable Phore FEE SIMPLE TITLE HOLDER: Name: Address: City: Zip: Phone: State: Not Applicable MOIRTGAGE COMPANY: Name: Address: City: Zip: Ph"e:_ BONDING COMPANY: Address: City:_ Zip: Phone: — Not Applicable 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, 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 inspection. If you intend to obtain financing, consult with lender or an attorney before commencing work or recording our Notice of Commencement. Signature of OvJver, as Agent for Owner I Signature of STATE OF FLORID STATE OF FLORIDA COUNTY OF b(J__1/ COUNTY OF Sworn to (or affirmed) and subscribed before me of ,_ Physical Pres nce or Online Notarization this _�o day of . 2020 by n Name of p son making statement. Personally Known OR Produced Identification Type of Identification Of Commission No. REVIEWS DATE RECEIVED DATE COMPLETED Sworn to (or affirmed) and subscribed before me of Physical Presence or Online Notarization this, day of ©C+ 02020 by Name of pemdn making statement. Personally Known %_ OR Produced Identification Type of Identification Produced err runn �J ; �pPYPVB� MARY BROWN ignature of N to Pub :°• 4,�No ary Public -Si of Flori a ssion # HH 37071 ommission No. :����;, My Commission Expires August 26, 2024 FRONT ZONING SUPERVISOR PLANS VEGETATION COUNTER I REVIEW REVIEW REVIEW REVIEW I �- WVPRublic-State of Flori Commission # HH 37071 My�g fission Expires laupuit 26, 2024 SEA TURTLE I MANGROVE REVIEW , REVIEW