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HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: S5�o LLrCurs 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: 10( /,J 4D+n 5t PROPOSED IMPROVEMENT LOCATION: Address: )UI lNJ .4C>- St Property Tax I D #: 24 (� _ U 0 3. 003g ` 00 ( Lot No. 4 J'` 1 Site Plan Name: , , ^ Block No. Project Name: �v'C LOV (C_OC=+ DETAILED DESCRIPTION OF WORK: `�� "" '�' �'�� `L' k-'L-LOA`1 R0r�.k..r�eur=1'_cLcl� ?tmI)ve. _Pao.c d . .f151 al l -a4- o,:aD&_r 4n As4-i4-It 1 oe,. lns. Tnsi-all ► (c knxn-h ci)ciC JiL%U I � S� Y-OD+ SYstm -b c°ADCAe . 14 i R;4-- Vb4 New Electrical Meter Second Electrical Meter `� Mu� --toyz" 0 I CONSTRUCTION INFORMATION: Additional work to be performed under this permit -check all that apply: _Mechanical _ Gas Tank —Gas Piping _ Electric _ Plumbing _ Sprinklers Total Sq. Ft of Construction: Cost of Construction: $) _ Shutters _ Windo Doors _ Pond _ Generator Roof l�` — Pitch Sq. Ft. of First Floor: Utilities: —Sewer —Septic Building Height: OWNERf LESSEE: CONTRACTOR: Name Lennox Da_yLoLscn Name: Address: 10I Q 4 ✓" ,'--k,r City: V-L PLO-1u State:'Fi Zip Code: 34C( A`I- Fax: I J Phone No. 15J4 Company: 10©YL t. irt�" Address: i J 'l SC G. A.)Vj lQ r-6W City: t3-1'>r PLC. e"Z) State:l= Zip Code: 51%a57— Fax: Phone No i Z.— I04 •(02--� E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail ( U �) kv-z' I I C' cory) State or County License C" ' _ I a>RI Z.+- rc value or construction a Lsuu or more, a KtCUKUEU Notice of Commencement is required. 1f value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: Name: Address: city: State: Zip: Phone FEE SIMPLE TITLE HOLDER: Not Applicable Name: Address: City: Zip: Phone: MORTGAGE COMPANY: Not Applicable Name: Address: City-, State: Zip: __ Phone: BMIDINIG COMPANY; Name: Address: City:_ Zip: - Phone: %JUVIVEMI LVIN I KIAL I UK AIIILJail 1. 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 Countmakes 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 your Notice of Commencement, re of Owner/ Lessee/Contractor as Agent for Owner STATE OF FLORIDA , I COUNTYOF Z5- Sworn to (or affirmed) and subscoed before me of PhvsIcal Presence or --je:" Online Notarization this I—r-l"clay of 2020 by iu� Name of person making statement, Personally Known OR Produced Identification Type of Identification sure ofCo _ctr License Holder STATE OF FLORIDA COUNTY Sworn (or affirmed) and subscribed before me of _.elrh 'cal Presen A� ce or_= Online Notarization this — f 2020 by Name of person making state ent, . PersonallyKnow — state Produced Identification Type of Identification (Signature of Notary Pubil- 4 Z�4�i �,i �a,.-Pu-bQFMr66TFWdi �J' , 01 inela Jones My Commission GG 985470 ( nature Notary P bl - of FkqW?P�bhC State"' ':'on Jones Commission No. pamel a I on GG 98547() C mission No. My C 110. �=95"12024 1 ExP OF REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE - - --- --- COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED