Loading...
HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: � `�J lJ q L flCIE RECEIVED FEB 1 1 2021 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: G cyRAId€ ovT - 7.941,As �+° `�e PRCFUSEDIMPE ?1lEMENT LOCATt3fli r 9 } Address: 7 J�,7f! /� 2 a. Property Tax ID#: 3 �/ r50/- ! 07 6©(7-- Lot No. S^ Site Plan Name: ��,41A5 Block No. 6 Project Name: X 1 t/EIL P,941< (JN/7=/ R ="iZr f141.1 New Electrical Meter Second Electrical Meter y g }4Y, 'Y 3TT'pay CC?ISTRUCTIINFC}R1ATi0N . . . z��}.. „ Additi al work to be performed under this permit-check all that apply: _Mechanicall _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: avuNft� sI= XYq �0TRCT4R Name Name: 1Y,97'HA/VA91- Me✓/�1 Address: 136_157 SW 6 Company: M EN/4 ^CA " A-TMIC/ Zzc - City: AO/L.T ST 1.VC1, State: Address: /690 .$w AO-0-7 TES Zip Code: 3g/9 r,3 Fax: City: O©,.T sT GVC146- State: I•—L Phone No. 79a?- 3VP- (o777 Zip Code: Fax: E-Mail: Phone No 36/- 9aa y Fill in fee simple Title Holder on next page(if different E-Mail I'VIC�T��IS'�I/3s��JR ('/►'1,A/�• CD�J from the Owner listed above) State or County License .5% AC/C IC 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. Ln SUPdPLEMENTA(� ',UCTIQN LIEN L,A 11V `_ q fy. 'i 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. 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 our Notice of Commencement. r' Signature o Owner Les a/Contractor as Agent for Owner Signature of Contract /License Holder STATE OF FLORIDA STATE OF FLORIDA� COUNTY OFfilfi COUNTY OF Sworn to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of Physical Presence or Online Notarization -2!5 Physical Presence or Online Notarization this L day of 2629 by this fQ day of J-'_6l312c1jgAX ,202&by 02O2� � ZOZ/ /1147-HAn/AF-1_- Name of person making statement. Name of person making statement. Personally Known_1z611 Produced Identification Personally Known V OR Produced Identification Type of Identification Type of Identification Produced Produced (Signatu e of Not y Publ I Ii (Signa re of Notat Public-Statme ,P"I�� ROS��lj - ONZALEZ a°"��P n� ROSA E.GONZALEZ Commission No. MYCOlbB+�fI�UON#GG349505 Commission No. �WOPMISSION#GG349505 ,FOF.,°1'1 EXPIRES:July 01,2023 ��oA° EXPIRES:July 01,2023 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.