Loading...
HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE�IyNFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: .�e- (` -o Permit Number: Or ���D �, RECEIVED O Building, Permit Application OCT2020 Planning and Development Services Permitting pepartment Building and Code Regulation Division Commercial Residential _­' st. Lucie County/ 2300 Virginia Avenue, Fort Pierce FL 34982 Phone:. (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: Address: 7 S ©j ' Lot No. Property Tax ID #: Block No. Site Plan Name: z Project Name: New Electrical Meter Second Electrical Meter, Additional work to be performed under this permit— check all that apply: — _ _Mechanical _Gas Tank —Gas Piping Shutters ._ — Windows/Doors Pond Electric —Plumbing _. Sprinklers rinklers Generator Roof Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: _ Utilities: Sewer Septic Cost of Construction: $ slv C , (go — —' Name , c. Address: City: �: 1 O��r' �.r State: 4G Zip Code: 3 Fax: Phone No. E-Mail:_/ 7 y i Le lj ? d"'T/airi i?nc a /r�M Fill in fee simple Title Holder on next page (if different from the Owner listed above) Name:_ Company: Address: — .,City: Zip. Code: Phone No E-Mail State' ror County Licens 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. Building Height: _— Fax: State: vp } w r .: a r F, r�«3srM" P':'L.d i uti*°s tk.�,r: .. SUiPPe"L�E�ITAL CONTJ um N uw•;'•� v .ue�.'� w..:a„1„ '`..�4i v: 1?PSa.K,.k R:,.lvk:•- s+L.. �,:�z�:�v DESIGNER/ENGINEER: Name: Address: City: Zip: Phone °dluK ;, :; Y r. ^r.t HP ,..gym.; o,g 9,. .., ti! i 4 ��.,..4..,.. a TD'N;=L v R . lC,. � �E N _LAIN lily �'.":��"��'i�� hlro,7s3 e�vs:;. x...-��`�:m�kn"KT.ff k� ' p � _ s _ Not Applicable i_ _h ! i I P�«.a:<V r r %J NIMEAL WI �O 1 3 c � _ , •. y � ��y <�y� +�k�R ' R °'��°kk � 7� 'men, _ �3r-.c �& uw.,. G,..,w�t..4r."v�croY,n�wi ��u� „)<s: k �` ._,r a `. �. -�e.� ��.,c.z w ,t� s! � 1 '".?•,' �# ; �s..�sr MORTGAGE COMPANY: Not Applicable Name: Address: I I State+, y � -I, Zip: I Phone: �• I I State:Cit I I. FEE SIMPLE TITLE HOLDER: Name: Address: City. Zip: Phone: I Not Applicable BONDING COMPANY: ! Not Applicable' Name: Address: I 1, City. a I f Zip: Phone: � i --fill r vn mrr 1u vi i : Hppucation is hereby made to obtain a permit tb do the work andinstallation as indicated: I certify that no work or installation, has commenced prior to the issuance of a permit. 1l f L. Lucie County makes no representation•that is granting a permitwill authorize the permmit,holder to build the subjectstru which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may,reAric„tbr prohir structure. Please consult with your] Home Owners, Association, and review your deed for any restrictions which, may apply. in accordance with the granting the Florida Building Codes and St. Lucie Count', A II respects, perform,tl`e-work I In consideration of the rantin of this requested permit, I do hereby agree that I will in a g y mendments. The following°r i building permit applilcations are exempt from undergoing a full concurre�ncyreview. room additions, ' accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to anothermon 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 recor Lucie County and posted on the jobsite before the first inspection. Ifryo4 intend to obtai;n'financi`ng with lender or an attorne -before commencin work or recordin o,ur Notice of ,Coommencement. I I Si nature of Owner Lessee Contractor as Agent for Owner Signature of Contractor/License Holder " such Is of St. consult STATE OF FLORID I STATE OF FLORIDA COUNTY OF L r% /—/ COUNTY OF s Swor o (or affirmed) and subscribed before me, of Physical Presence Online Sworn to (or affirmed) and subscribed before1m'e of or Notarization this day of lG�/'— 2020/by Physical Presence or Online Notarization this day of _ (. 2010 by Name of ersomma • g statemerit. Name of person making statement.i Personally Known OR Produced Identification Personally Known i. OR Produced Identification_ Type of Identificati I Type of Identification I I Produced Produced Signature of Notary P lic- State, of Florida) (Signature of Notary, Public- State. of Florida') } Commission No. (Seal) 9,_ =a t_ ommission No. (Seal) • i REVIEWS FRONT ZONING SU V S91- _ LANS VEGETATIiON SEA TURTLE' MANGRC COUNTER REVIEW R ' l9--03 o VIEW REVIEW REVIEW "REVIEW DATE 3 RECEIVED 3. DATE COMPLETED L. o y z °' G) o x ev. 42: v § i pig