HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST Bill., MPLETED FOR APPLICATION TO BE ACC `,D
Date: a (/
Permit Number:
P/anriing and be! e%prrientservices
Building and Code Reguiation Division
2,300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT TYPE:
Address:
RECEIVffF,_ _.
Building Permit Applicat on JUL 14 2020
ST. Lucie County, Permitt;"rn
Commercial Residential
_ FL Wq1 :+
Property Tax ID #: ZZy - p I - o G - 0 0 0 - u Lot No. I C1
Site Plan Name:
Project Name:
ton mn n
Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank 16as Piping
_ Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ rl q �g • y 0
Nam
Block No.
_Shutters _Windows/Doors
_ Generator _ Roof Pitch
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
Address:_ 1ye
City 421)Yt Sit W CUt; State: FL
Zip Code: 3a- Fax:
Phone No, -(12 - 215 - �31Q1�
E-Mail-�/0►1�YI f,aYY1p Q ll(�1-1�11r1 COM
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name:LUn-ylw ('1I(WsDY)
Company: corOl MCam Y1 Cp m mPCIVIL
Address: y 251 3F ()M(Ylev Q, Igo
City: sis'11a im- State: `L
Zip Code:'21 Fax:
Phone No 2 3z
E-Mail 11P1 6:8W p'}/)
State or County License —I Ci i I — C655Gu-1
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.
NI.ame:.
Address:
City:
Zip: Phone
FEE *'SIMPLE TITLE
Name:
Address:
City:
Zip:
CTtON LIEN LAW
Not Ap cable
State:
Not Applicable
MUM 14 .AGE COMPANY: _ Not Ap ' li;cable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMP Not Applicable
Name:
Address:
City:
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
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDINCy NOTICE OF COMMENCEMENT."
1 r \ i.
as Agent for Owner
STATE OF FLORIDA {�
COUNTY OF_ I)PO&H
The forgoing instrument was acknowledged before me
this day of L,1 20 ?1-) by
Name of person making statement.
Personally Known OR Produced Identification
Type of Ident..1ficat]on _
re of
Commission No.
a@fy�Jojdat4te of FlonaE
Charmin D Walker
My Comm1skwn C�`G 225827
-Fvnires 061 AW
REVIEWS I FRONT I ZONING
COUNTER REVIEW
DATE
RECEIVED
SUPERVISOR
REVIEW
/License Holder
STATE OF FLORIDq
COUNTY OF _ YYl lea
The forgoing instrument was acknowledged before me
this ---L day of 201) by
no 1)11W f'II 1 hf'yso I-)
Name of person making statement.
Personally Known OR Produced Identification _V1-
Type of Identification
Produ�eed n • (,k (-OAS -f-
(Sigmefure of No
4=Y Pto Notary Publi State of Florida
Commission No. _� Charmin D Wal er
�0 mmission 1i�27
• Expires 0610612022
PLANS VEGETATION SEA TURTLE MANGROVE
REVIEW REVIEW REVIEW REVIEW