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HomeMy WebLinkAboutBuilding Permit ApplicationN All APPLICABLE INFO MUST BE COM01eTED FOR -APPLICATION TO -BE ACCEPTED Dat6:' Permit. Number: (7) CR. A% J DECEIVED AUG 2 6. 2020 Building Permit Applieatio . ST. Lucie County, Perrritting Planning and`DevelopmentServices 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:, WIM Milli ar VAddress: f a �i Property Tax ID#: ��'"1 —y0� ' DOQ 3 ` e ©jLot No. Site Plan Name: Block No. Project Name: J New electrical Meter Second Electrical Meter {�� � � r 1..�A',�.-kF� x n•36o.•A . :c3''�^n+5,a ;n? _F.. .a^.^. ...41'3' �eS.x,�S. r.��F���.. � s. `c,.s`t. �d 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: ', a�9 �{� Sq. Ft. of First Floor: Cost of Construction: $ 'ZiCj , d a' Utilities: —Sewer _Septic Building Height: �,o-t..•,r„•y�_#7 K' 2s r e - t '.5 e 1+", C .x:< fFt•.v. (®�' :. L .. C�cc '. ..yt.w' fc..'' •Ylv" '{L'Y'1v •c. --a3 i aV 3(as.+.,� �t:,S+Y k "a- aYn i G t,*'• .y Ya. {`< i cHs��.:t x,G,gk+ �,y,`1'..:.-y5=' - -�% R ,� ufi �a.u�.'`yi<�.�.3 yYY4��:" cr"% �W, ..�.k�++lk��..�ca,,.�y`+ii'�:«''T., 'q°i.''1i.'St'1��>7ri"w',y�k3]e%'''`.Y.S..,,33,, i"#:'�5tl�'kr'{Fyy..�,.R _..'I#1, i. ..'itZ .4:�. ks ... fi.. G.u.lr 'L.tt. J uL '!"ai\K9&, .iaTi.: Aih.v a�31 J Nam S',E Name: •..... Address: ��/� r �. rC C_aw� Company: .., / City: 9W1J-. vil�--r.cr State: Address:',',, Zip Code: .Zgf rZ Fax: City: State: v Phone No. 3 1?0 rt Zip Code: Fax: E-Mail: Phone No Fill in fee simple Title Holder on next page ( if different E-Mail from -the Owner listed above) 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. 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 pnor,to the issuanceb' a permitp St. Lucie County makes no representation that is granting a permi#will abtlaws or and co a ants that .may restriche utbor,prohibit such which is in conflict with any applicable Home Owners Association rules, y, structure. Please consult with your Home Owners 'Association and review�your deed'for any restrictions which may apply. k In consideration of the granting of.this, requested permit, I,do hereby agree that I will, in all respects, perform the wor 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-concurrencyreview: room additions, accessory structures swimming.pools, fences, walls, signs,.screen rooms and accessory uses to another non-residential:use_ WARNfNG TO OWNE_R,Your. fallure,to Record a Notice; of Commencement may result m paymg:twlce for Improvements to your property: A Notice of;'Comrnencement must be recorded In the pyubllc records of St.: Lucie County and posted on t ite before the first inspection. If you`irate`nd`to obtain financing, -consu t with lender ona'nefore omrriencing work or recording our Notice of Commencement. of STATE OF FLORIDA COUNTY'O,F ' S*. as Agent for Owner Sworn to (or affirmed) and subscribed before me of Physical Presence or Online Notarization this Z.<e day of 1�k J� , 20� by Signature of Contractor/License Holder . STATE OF,FLORIDA COU,NTY:OF' Sworn to (or affirmed) and subscribed before me of Physical Presence or Online Notarization this day of , 20_ 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 Produced 1— (Signature of Nota '0' (Signature of Notary Public- State of Florida) . :•ON!"w�1 DEmNAMARIEGIVENS ' Commission No. GOMMIM GG022023 commission No. (Seal) =v •, �. PIRES: ber 18, 2020 BondedThru'NolaryPubrroUnd9rwr6m ,F�, • . REVIEWS FRONT ZONING SUPERVISOR PLANS" VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW RECEIVED