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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: V a M Permit Number: © I I -�Q°I uo L�1.1��G RECEIVED O p - .. • •' " Building Permit Application Nov 0 6-2020 Planning and Development Services Permitting Department Building and Code Regulation Division Commercial Residential St. Lucie bounty 2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772)462-1578 PERMIT APPLICATION FOR: - NO 3*• ' a;' "y�; r "�.;�sF r �c" 'f€e�''��`"',�,�u.rs zm.a APR®POSED�INJP'R®tE: 1TL®C�A (O .. r, t-kc.- :c. cu. .t•:.r.�a.- vs^ .F.sa1a:.�.,'-, 15v. Address: Q f I(f`.,e Property Tax ID#: , 00/ / Lot No. Site Plan Name: Block No. Project Name: DAD New Electrical Meter Second Electrical Meter co NsRu cry { iu Fo, MTIo r�� ,� 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: n Sq. Ft. of First Floor: Cost of Construction: $ a Utilities: —Sewer _Septic Building Height: .r wag et" fir'.- :k,,. DOWNER/t RSS M q.CTOR �= ENO Name Name: Address: 1 KidCompany: City: P:ivs State-'� Address: Zip Code: If Ct Fax: City: State: Phone No. zoo ©�Y�^^ Zip Code: Fax: E-Mail: ✓ (W � Phone No Fill in fee simple Title Holder on next pa e(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. :;, UPPLEM, E �, AL- CN�N�ST .U���ft®r- LI,E�I� L�AkW 41 i Ii YT �`N• �� � . R . . 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 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 the obsite before the first inspection. if you intend to obtain financing, consult with len o n attorne e commencing work or recording our Notice of Commencement. S' at / es a Contractor a fo ner Signature of Contractor/License Holder S TE OF FLORIDA LL I _ STATE OF FLORIDA 6"l COUNTY OF �1��1� COUNTY OF Sworn to(or affirmed)and subscribed before me of Sworn to(or affirmed) and subscribed before me of Physical Presen e or Online Notarization Physical Presence or Online Notarization 2020 b this day of 2020 by this�day of��(, Y Name of person making statement. Name of person making statement. Personal) Known OR Produced Identification ' Personally Known OR Produced Identification T e of Identification YP Type of Identif on Produced Produced D (Signature of No (Signature of Notary Public-State of Florida) KAREN S. NIELSEN (Seal) Commission No. Commission No. �=°`P _State of Flori�t�f�-tart' Public ommission # G� 207484 �P�. My Commission Expires "I OF f FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE REVIEWS REVIEW REVIEW REVIEW COUNTE R REVIEW REVIEW R REVIEW DATE RECEIVED DATE COMPLETED ev.