HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE NFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 0�
Permit Number:
,_:�`f�� LLc%L .
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fart Pierce FL 34982
Phone: (772) 462-1553 Fax; (772) 462-1578
PERMIT APPLICATION FOR: �r� , `S
PROPOSED IMPROVEMENT LOCATION: v Vl�
Address: r�yy
Property Tax ID 15 000 Lot No.
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
C � ,
4EIctriralMeter Second Electrical 6eter
CONSTRUCTION INFORMATION:
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:
OWNER/LESSEE:
CONTRACTOR:
Name
Name:
Address: + uV
Company:
, I
City: State:
Address:
Zip Code: Fax:
City:Q��
Phone No.
Zip Code: Fax:
E-Mail:
Phone No �h-Q, — "�J 3 ` 4'c
Fill in fee simple Title Holder on next page { If different
E-Mail SJZ5
from the Owner listed above)
State or County License_
n vaMun u1 con51racr1on 6 caw or mare, a KLLUKULL) NOXICe Ot Commencement Is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
'SUOLEAAENI7��^C� f UCTfOUIIEN: -Aw
Name: --- Bell, Applicable
Address.. —
City.
Zip: Phone State:
FEE SIMPLE TITLE HOLDER:
Name: -- Not Applicable
Address;
City:
Zip:
.. ..........
OWNER/ CONTRACTOR AFFIl1pTITA li
I -
i-UKMAT ION:
1VIORTGAGE COMPANY:
Name., _ . Not Applicable
Address:
City:
Zip: � Phone State:
BONDING COMPANY:
Name; ---Not Applicable
Address:
City:
Zip: Phone-
LITY • pp cat�an t$ hereby made to obtain a permit to do the work and -- indicated.
that no work or installation has commenced prior to the issuance of a permit. installation
St. Lucie County makes no representation that is granting a permit will authorize the ermit holder to build the sub'ect structure
which is .c conflict with an a
structure. Please con suit with your Home Owners Association and review yaws deed for any restrictions which me a
Y pp icable Home Owners Assoe�at�on rules, bylaws or and covenants that may restrict or prnh►bi# such
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 a A Y apply.
approved Plans, the Florida Building Codes and St. Lucie County Amen
The fallowing building permit applications are dments. 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
WARN1N0'i®OWNER; Y failure to Retard a l�aklce of Camrrten�ment may Aresupayingimprovement to yo r p aperty. A Notice of Commencementnzu a rethe public records ofLucie Count a twice for
with fende11 ora P ted n the jobsite before the first inspectia . if ou obtain financing, consult
arne before cOmmencin work ar recordin vni r iv_ P u `--
Signature ofFner/=r1tAgen,10r11wner1Signature
STATE OF �COUNTY !FSTATEC
fICOUNT)
SWn to (jr ormed) and subscribed before me of
T� YsEeal 15resee or Online Notarization
this day of 202q by
Name of person making statement.
Personally Known` OR Produced identification
Type of Identification
reazavV Nuniic- State of F1
4
ti�`��L luf OIy�
Commission Na. ,•'°
REVIEWS
FRONT
COUNTER R� Ip =nCtA,0iI
Sworn to 4-0
nor a irmed) and subscribed before me of
ys a[ resen r Online NV arization
th s d of 202 by
Name of person making statement.
Personally Known_ OR produced Ede ti cation
Type of Identification
Produced
( ign ure Nota
oa f Nary PUbNC stale at Florida
-OmMission No, ; a Kati
OSOV2024
voirwe
tV5 VEGEi'ATION SEA TURTLE iViA1VGR0
EW REVIEW REVIEW REVIEW