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HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUSTBECOMPf'R_ _-=D FOR APPLICATION TO BE ACCEPTED / /' `s Date: ) ` -� Permit Number: '�l J� • : ��. 97. (i ���� ��` RECEIVED NOV r 2020 Building Permit Application Permitting Department .Planning and Development Services St. Lucie County 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: .7 ) ©n - PQPOED tMPRpVE11JIEN7 LOC4'T101V, Address: _135— PRPRLIR AlEAXr CouQt, FDa-r P(L=n t'✓ 1"L 3ggqQ Property Tax ID #: 1 q / Ll — 7O ! C71 (o I O d O/ L Lot No. n Site Plan Name: __9f-0--10P E/V t- 8 0 tR 8 AR R R p MSFt V Block No. (7 Project Name: RR 1✓1 S 19V RE5610CENC C X1Y1-C-✓tcnt:2 AC1U0uQt761y of C:X15'_16P& f-foMc 7-0 Ll0c1jo6_r! tVC-tu Ca C. NLGu [LNC1y 1 (364t14sI h JC-_ gL&C-fytlG -F p1.0t441131t-I6 96U✓IOVL PR I v_IO (2PUZI Lc z1Y 5 V 2_ G- f«v( /t lu 0 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 11, Electric V Plumbing _ Sprinklers _ Generator _ Roof Pitch Total Sq. Ft of Construction: Cost of Construction: $ l V. O U p Sq. Ft. of First Floor: Utilities: —Sewer —Septic Building Height: U1l1 /lLES5Eg � '� �° a3,n,.�hl,l,-« CONTRACTOR h` Name_ 5ft PJ4C-tu + aAy&t4J-jy2Ja 12talK4en V Name: Company: Address: Address: 13 T- 1)lgd2c.t t� 1✓1 [?�v`I' COu v� t' City: PO uLt l l L nc. W State: I_(, Zip Code: 3 cf 9 4 �f Fax: Phone No. % 31 ! 3 3g - (19 4 s City: State: Zip Code: Fax: Phone No E-Mail E-Mail: S 12 R 4�_ (0 61,14 ((.. Gb (✓1 Fill in fee simple Title Holder on next page ( if different 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. ENfiAL G�NSTI{-uCT[tN L1EN�LAW 31[VI=QRMATIQN AASUPPLENf .PH u�•i w9, i d'u,i s `.'•° �. k` , 4 y ^a, a $ q 4, ft k .t NMORTGAGE DESIGNER/ENGINEER: _ Not Applicable COMPANY: Not Applicable Name: S A IA lu X. ICI AS IGd L PL Name: _ Address: 72.5 56 Poar ST welt r3wuv.J Address: City: Pow Sr l-OC16 Stater City: State: Zip: 34Q 84 Phone_ 77Z - 285- o5- 72- Zip: Phone: FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Applicable _ Name: Sr6 P/qrw t-014.7a np r2cq&M5Q-V Name: _Not Address: c.ouy,.-r Address: City: City: Pj Lf- t4 a Pe— Zip: 3q of y cf Phone: & 3 1-3 3 K - Y8g S' 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 jobsite before the first inspection. If you intend to obtain financing, consult with lender or an attorney before commencing work or recording your Notice of Commencement. L Si ature of wner/ L ssee/Contractor as A nt for Owner Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF .r6. l�lq, L U COUNTY OF Swq� n to d) and subscribed before me of Sworn to (or affirmed) and subscribed before me of V h sical Presenc or Online Notarization Physical Presence or Online Notarization this ZA day 2020 by this day of , 2020 by Name of person makingstatement. Name of person making statement. v OR Produced Identification �ofcation Personally Known OR Produced Identification Typ Type of Identification Produced/ Produced CkVIJ ' (Signature of Notary Public- St %ture of Notary Public- State of Florida ) Notary Public State of Flo QQ� TZ�. `D&6S,pahris L Woolley65Com ida CommissionNo. on GG 1 B ission No. Seal Expires 0212commiss6/2 22 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev.