Loading...
HomeMy WebLinkAboutBuilding permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED q l Date:.�j�9�� Permit Number: "! =RECEIVEDBuilding Permit ApplicationPlanning and Development Services 20119 Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential , PERMITTYPE: PR��P©SED IM RO1/EMENT LOCATION: Address: /i'O/ WOPOWL 9RD' 09 � Fr ACERcE _ FL- 3 q9g.� Property Tax ID #: /zf 3 3 .-r101— Q,5q — OOOr6 Lot No. 0 Site Plan Name: AV69 O.rS6 P49,K Block No. 31 Project Name: ©ETAILED DE�SC«R�{'PTION O' WOR Ce ,e,&o;;,n 41,A CONSTRUC IC3N INFOR�MATI�N: Additional work to be performed. under this permit — check all that apply: _Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors ' Electric / Plummbing _ Sprinklers _ Generator _ Roof Pitch Total Sq. Ft of Construction: 9& Sq. Ft. of First Floor: Cost of Construction: $ R,67069•ya Utilities: —Sewer _Septic Building Height: aWN =Rf kSS�EE: CO TRACTOR: Name eC,iVW1 ,5i51—C;-/pY0,l16S Name: Address: /%'61 IWOOD Wj9RO IV Co an mP.Y. City: ICY /10/6-GL02 State: /'- Zip Code: -T q'?Z16 Fax: Address,: City: ' State: Phone No. 7- 117.E-3 `%4? Zip Code: Fax: E-Mail: e fE & �a Phone No Fill in fee sim le Title Holder on next page ( if different E-Mail State or County License from the Owner"listed above) If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required. z III 1111111gl�11111 DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not 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 YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT w!TH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." ignature wner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLOR DA STATE OF FLORIDA COUNTY OF SSk. Zile \--%-, COUNTY OF The for oing instrument was acknowledge before me a day Se 20_ by The forgoing instrument was acknowledged before me this day of 20_ by this of `A 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 'F L fl L Produced (Signature of Notary P =• '•ofJ�CISSION#GG022023 (Signature of Notary Public -State of Florida ) EXPIRES: December 16, 2020 Commission No. "• Banded 'itU&%riPubrcUnder0tem Commission No. (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 2/7/ 19