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HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: z���-� 01T. RECEIVED O °- s. Building Permit Application,. DEC y 1 2020 Planning and Development Services Permitting Department Building and Code Regulation Division Commercial v` Residential st. Lucie County 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: Address: Property Tax ID #: Ci "cIl - — CDO'l'- Lot No. Site Plan Name: Block No. Project Name: all -nPL YdQ50 i n e-)65-Hq9 Cu m mex c i ca 5 ost v°' Nowi e-i-rCL C-h e cA Wig dvG vvoVIL New Electrical Meter Second Electrical Meter Additional work to be performed under this permit— check all that apply: f\—Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors . _ Pond Electric _ Plumbing _ Sprinklers Total Sq. Ft of Construction: Cost of Construction: $ i CG Generator Roof Pitch Sq. Ft. of First Floor: Utilities: —Sewer _Septic Building Height: Name L;60 Address: LP-ZLfZ PcIrl JA City: G04 file Zip Code: Fax: Phone No. -E-Mail: Fill in fee simple Title Holder on next page (if different, from the Owner listed above) Name: -- KoLar, (-h144") Company: Address: NE' OH" CD u f �- City: ©ketc-ko6 e- State: Zip Code': -5q r 2 Fax: ' Phone -No 0 Q Z, — Z2. E-Mail /' inn0-0 1 1 Gvyr► r State or County License CACo 5F�(-p 1y ­1f value of construction is 25uo or more, a KI:LUKUtU IVOilee VI k.ununc11%. 11c11 a —4-1 if value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required. ='PPLE� '• ,N� ' : gip; `. �I Y ' Lli i MORTGAGE COMPANY: — Not Applicable DESIGNER/ENGINEER: _ Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLEHOLDER: _ 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 clo the worK ano lnstauaLlon dS I11wi-dLeu. 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 restrictorrppr 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 Comrimencement 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 ^ , nr rornrriinv Aim Ir NntirP of Commencement. WlL11 itilUtl U1 dl1 aLLUI "Uy CI UIc %-WH III l for Owner Signature of Contracto icense Holder Signature of Owner/ Le s e/Contractor as Agent STATE OF FLORIDA_. �..��. STATE OF FLORIDA COUNTY OF �.>oL' L oLLz COUNTY OF -e Swo to (or affirmed) and subscribed before me of Swor o (or affirmed) and subscribed before me of Presence or Online Notarization Ph sical Presence or Online Notarization day 1) 2020 by Physical this day of l �i' 2020 by this of Name of person making statement. Name of person making statement. Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identification Produced Type of Identifica n Produced U Q / (Signature of Notary Public- State lorida) N 11 °� ao (Signature of Notary Public- State of nda O r® D- —UW O C U_ ac Commission No. (Seal) m ° o Commission No. (Seal) c�oz 0� O E"p LLI 8.2 7 IL N_ Q� , .gam E REVIEWS FRONT ZONING S �If PLANS VEGETATION SEA TURTLE MA` COUNTER REVIEW R; REVIEW REVIEW REVIEW R ? DATE M « #/ RECEIVED DATE - COMPLETED 'JJ4I�IIC1< - Rev. b/b/ZU