HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: I ( (5-1zo2- 0 Permit Number:
, .1LUQE;-z:N
L- L c >=v ` `, n- Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential v
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: 15 3 A `k tr& S f-
Property Tax ID #: 34 (G- i -- ,3 Lot No.�
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
1 [`�> e" 'el -
New Electrical Meter Second Electrical Meter
I CONSTRUCTION INFORMATION:
Additional work to be performed under this permit -check all that apply:
Mechanical
Electric
_ Gas Tank
Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ i ! 52-4 s go
Gas Piping
_ Sprinklers
_ Shutters
_ Generator
Sq. Ft. of First Floor:
Windows/Doors _ Pond
Roof Pitch
Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameC4-) n A C'_ 6- 14 535
Name: 1' ik-V_.'C t Q i
Address: T5 A H-ut -a,_
Company:r1`l ce 1--NC
City:rQ -�- '-rv. L<o cAe_- State: FL_
Zip Code:34{5'?, Fax:
Phone No.
Address: l `�3 7 64t'
City:�o(-A- (-yue State: R_
Zip Code: 349,.E Fax.-17R a� "
Phone No]T-A- 53-7 322Z
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail Mk Lk A) I Y r z.d —1e (L) L :h
State or County License
iT value oT construction Is zSUU or more, a KELUKDED 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-
1 certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie Counttyy 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 1 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 th jobsite before the first inspection. If you irltend to obtain financing, consult
wit lendpr or an attorney be' commencing work or recnrdinammir
of Owner/
STATE OF FLORIDA
COUNTY OF S j
as Agent for Owner
Sworn to (or affirmed) and subscribed before me of
V P,h,}�sical Prese ce or Online Notarization
this �J Pnday of - /V�� � � 2020 by
".�'"'
Name of person making statement.
IV
Personally Known Z OR Produced Identification
Type of Identification
Produced
;signature of Notary Pu
.Ar ° IANE COLE
Commission No. =_ _ Nota b¢ State of Florida
` Come{ it GG 461084
My Comm. Expires Mar 14, 2024
REVIEWS I FRONT ZONING
COUNTER REVIEW
DATE
STATE OF FLORIDA
COUNTY OF 'S;7 •T L CA
Sworn to (or affirmed) and subscribed before me of
"/ �Ph sical Presepce or Online Notarization
this 6' • day of _ L)byak (a-e a--- 2020 by
W" & - -_-
Name of person making statement.
Personally Known V-*" OR Produced identification
Type of identification
Prodpced
IOWA
Signature of Notary Public- State of, DIANE COL
Notary Public - StatA
I
Commission No. �
.�� Commission # GG
............MY Comm. Expires M
Bonded through National?
UPERVIS
P�nLANS�
SREVIEWOR # RE EW VREVIEWON SREV EWLE MRANGRO
EV EWVE
2024
Assn.