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HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: J U1 29 2_02M Permit Number: 0 W)a 91Y. ILME Building Permit Application Planning and Development Services Building and Code Regulation Division Commercial Residential 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: MR©UEMENT Address: _V391 30fTICS RiOnCA 51 LUSLe, EmISCIQ Property Tax ID #: 1301 't0o3l 022-0 0004 Lot No. 10 Site Plan Name: J_QJe±L-)0Cd;� PoLry, Block No. 1 Project Name: W _QLd V,) kI liv, y4orrZ!3 TAILp Nil V, 19 MY vuiei� New Electrical Meter V/ Second Electrical Meter - no I Additional work to be performed under this permit- check all that apply: VMechanical Tank Gas Piping VShutters 'Windows/Doors Pond —Gas alectric -1,011umbing Sprinklers Generator V/Roof Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor - Cost of Construction: $ Q I L) Q • Utilities: Sewer _7Septic Building Height: _L51" pzSS R.4" Name: in Qd!o �,A UT Cr-A4 H 0 CYT A Name WUtA FL U—C, W 314 1 LCd Address: '3ogi coer,,ySLqk, .,r-D Company: MQCC!4 DdAil City: N Gr1r_rQ!5 IN State:G A Address:30ql ajLY-�� L� t=t, pr, 84-e W Zip Code: OS 0 QJ Fax: City: N QrCMS� .- State:&� Phone No.-O 21 210 * LP to IZ-9 Zip Code: `� Q(32/ — Fax: E-Mail: 44QCk4-W. T)W,0 it\ pp Phone No Q10 - Le w2-9' Fill in fee simple Title Holder on 'next page if clih E-Mail from the Owner1isted above) State or County License CGO If value of construction is 2560 or more, a RECORDED Notice of Commencement is required. If value of HAVC is $7,500 or more, al RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: — Not Applicable Name: MuRw.m&Kula Name: Address: Jaa'grookslde.Aye Address:.,. City: Ambler State: PA City: State: Zip: 19002 Phone (21S) sas-anon I 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 Counmakes, no. representation that is grantlrig,a permit wilt authoriae�thO permit holder to build the subject structure which is in conty lct with arty( applicable Home Owners Association rules; bylaws or, and covenahts,that may restridt or prohibit such structure. Please consult.with your Home Owners Association and review your deed for any restr•Ictions 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 jobsite before the first inspection. If you intend to obtain financing, consult %.,itk lonrlar nr nn attnmPti hafnra cnmmencine work or recordine your Notice of Commencement. Signatur , ,', wrier/. essee/Contractor as Agent for Owner '- ature of C `tractor/License Holder ST ORIDA S F FLORI A COUNTY OF C� rC—,yn rCA COUNTY OF 0 '-671 SwJ �rn to (or affirmed) and subscribed before me of Sw�fn to (or affirmed) and subscribed before me of Y 'cal '1( P ys'cal Presence or Online Notarization by Presence or Online Notarization this as r of ���Q . 2020 by �' 41 this ay of bA - , 2020 by Name of person making- atement. Name of person makiftatement. V/— OR Produced Identification Personally Known OR Produced Identification Personally Known Type of Identification Type of Identification Produced, Produce- ll (Signature of Not 6j.(Signature of Not wy Pubk 300 of M0 Nolm� C sum d Rod" Commission No. _ o2ooto Commission No, 010 rr OW . e> oeAsr 4 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED , Rev. 5/0`/zu