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HomeMy WebLinkAboutBuilding Permit Application JAN/07/2021/THU 02:08 PM FAX No, P, 004 All APPLICA E IN7 MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 1 O I O ©� Date: Permit Number: Or WC OIE ' JAN 13 2020 0 Building Permit Application ST• Lucie County, Permitting Planning and Development Services Building and Code RegulationAivision Commercial X Residential 2300 Virginla Avenue,Fort Pierce FL 3498,2 Phone:(772)462-1553 Fax:(772)462-1578 PERMIT APPLICATION FOR: PdE�3, 1 P' �J1 �UI , Ail *�Hp„Y�y �; ., `, rwtar; � r�YrWr kx,o�*Z fifirt- �. -r'. � N S 4 f.7 t ti ;my 7p} fit.,. Address:---0� / Property Tax ID#: CQ r Lot No. Site Plan Name: Block No. " G Project Name: I WE I I +;7l 'fit h r 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 Electric _Plumbing _Sprinklers ,,,,_Generator _Roof Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction:$ Utilities: Sewer _Septic Building Height: �}:( 4�)'7s I�j i�.it4��Vjy 4, t�� �J���"1-,fy •��r rS.. �';�E�. ��',� '- ".� '� 'r`°ir��; �M� � � r Name AA4YV-7 ID art- a Name: ' Address L r 4 eL Company City: State: Address: f ' Zip Code: Fax: City: State: Phone No. , � Zip Code- 2 Fax: E-Mail: Phone No WOO — Fill in fee simple Title H der on next page(if different E-Mail from the Owner listed above) State or County License If value of construction is Z500 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. J 1AN/07/2021/THU 02:09 PM PAX No. P, 005 6'�'K:'d 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. 5t.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-residentlal use WARNING TO OWNER:Your failure to Record a Notice of Commencement may result in paying twice for improvem nts to your property.A Notice of Commencement must be recorded in the public records of St. Lucie Coun y and posted on the jobsite before the first inspection. If you intend to obtain financing, consult with lend e or ad attorney before commencing work or recprding your Notice of Commencement. Signature ne ss a Contractor as Agent for Owner 5igna re of Co or/ icense older STATE OF FL A ^ STATE OF FLO�tiD COUNTY OF � COUNTY won to(or affirmed)and subscribed before me of S n to(or affirmed)and subscribed before me of ical Preset r Online Notarization P ical Preset Online Notarization t is P s day of 2020 by t is ay o 202f by wm -.-IqDlL, lt-4-� Name of person making statement. Name of person making statement. Personally Known OR Produced Identification Personally Known OR oduced identification Ty dentification Type ntificatlo ddu d i P duced # 7gn,t&of Notary Publ Si ture NotarNbtvy PUMC isle of Florida IYot� Pu c 9tero of FlonCa ecyuellne ndi9 mission No. • Jp a DeGrandis ommlSSlon NO. y� mi� pp7272 My Coromli!<ion fdM 007272 Expiroo 0111+i1202a Ai�c upi'so 07/14/2024 a c►� REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev.