HomeMy WebLinkAboutBuilding Permit Application.All APPLICAqLE INFP MUST BE.COMPLETED FOR APPLICATION TOBEACCEPTED
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Date: Permit Number:
Building Permit An�mnU^cat^0»�|
P�nn�gand oeve6�nnent8yv�es - '
Building and Code Regulation Division Commercial Residential
230Virginia Avenue, Fort Pierce ;L 34982 -------
Phone: (77Z)462-1SS3 Fax: (772)46J'IS78
PERMIT APPLICATION FOR:
RECLIVED
NOV 1:7.2020
Permitting Departrnpnt
St. Lucle County
Address: -�--��WIMATWOW_ANYL
Block No.
Project Name: AVE QV gteA66�
New Electrical Meter
`
Second Electrical Meter
Additional work tobeperformed underthispennit—checkaUthotappl/: ^
Mechanical'. ` Gas Tank Gas Piping Shutters Windows/Doors ' Pond
Electric Plumbing .Sprinklers Generator � Roof -`'`'� p' �
_----_--_- �ch
TotaI3q FtofConstruction: Sq. Ft ofFirst Floor:
CUtilities: Sewer Seplic Building- Height: '
Usk j
.�o�panN
A dd r:!
Pho ne
Fill in fee simple Title Holder on nekt page if different
E-Mail...
from the Owner listed above)
State or County License
If value of construction is 2500 or morel a RECORDED Notice of Commencemdnt is required.
If value of HAVC is $7,500 or Tore, a RECORDED Ndtide of Commencement is required.
�
_ .a
made to obtain a permit do the work and install'ationas indicated.
OWNER/,CONTRACTOR AFFIDVIT: Application is hereby.
I certify -that no work or installation hat an that tescrant g a ped prior to rmit will authori6 issuance of a ze the permit holder
may rese,subjeict,qe p structure
St., Lucie Countyy makes no represents_ _ g
pro,
such
which is m conflict with any, applicable Home Owners Association rules, bylaws or and,cov
structure. Please consult with your Home owners Association and review your deed for any restrictions which'maybpplY
p ` Jer`form the work
In consideration of the granting of this requested: permit, I�clb hereby agree that,l will, in, all res ects, p
in accordance.with the approved plans, the Florida Building Codes and St Lucie°County AmendmentsF
The following building permit appools, -fences,
ces veal sre psigns screenJr ours and aundergoing a � essory sesto another non-residential use
f omrnencemen may result in paying.twice for
accessory structures, swimming pools, en ,
, cement
WARNING TO OWNER Your failure to.Record' a, Not',ce of,Commen t.must' be recorded''i"n the public records .of St.
improvements to your property: A Notice -`of C: .
Lucie County and -posted on the lobsite before the fk or!'reco I , ri If yo N t ce of Commencement. �'consult
w th lender or an att ne before cornrriencin .war
0. w
Signature of owner/ L-essee/Contractor as Agent for`Owner
STATE OF FLORIDA,�
COUNTY OF Sea
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this 11 day of 2020 by
.Name of persdri making statement:
Personally Known x OR Prod uced'Identification
Type of identification
(Signature of Notary:Public tat eZT -10 W. -- Vto :,
Commission N Se*9.0 :?k
` ! me 391161
REVIEWS FRONT ZO
COUNTER REVI 0//_11:
IVED
COMPLETED
Signature o Contractor/License Holder
STATE OF FLORIDA. l~`
COUNTY OF
Sworn to (oF,4ffirmed) and subscribed before me of
Physical' Presence or Online Notarization
2020 by
this 11 d�a/y of J
Name p rson making statement.
Personally Known __-,� OR Produced Identification
Type of Identification ����NIHIIIIII///�
O.N ter- UAYA1w _ �46.
y
{Signature of Notary Public- S.e'te 4 . ida)
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Commission . -
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PLANS VEGETATION SEAik1 / fill% %t REVIEW
REVIEW REVIEW REVIEW