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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTEDO�^ D '5 o� Date: Permit Number: RECEIVE • FEB 17 2021 - - - Building Permit Application Planning and Development Services Permitting Departme it and Code Regulation Division St. Lucie County, F 2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential PERMIT TYPE: 0 Address: Af 4 A I ff Property Tax ID#:_q/I d 6 l�4ty �.000'7 Lot No. Site Plan Name: Block No. ' Project Name: ( (vojy ,` eS DETAILED DESCRIPTlO'N,OF WORK i' s-do r Additional work to be performed under this permit—check all that apply: _Mechanical _Gas Tank _Gas Piping _Shutters Windows/Doors _Electric _Plumbing _Sprinklers _Generator _Roof Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: _ Cost of Construction:$ 4o ��1�: Utilities: —Sewer —Septic Building Height: 01NNE_R/LESSEE., i CONTRACTOR,, . Name - Name: Address Company: �J City: C]'Piee @ State:_R_ Address: 03 Zip Code: -3 Wzj_- Fax: City: _ ry State: Phone No. ,- Zip Code: rGi _nFax: E-Mail: ©7 Phone No 1 • / 6 Fill in fee simple Title Holde on next page(if different E-Mai lc. S: f'P? r, from the Owner listed above) State or County L cense �.(2C 1,3 1KF If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. If value of HVAC is$7,500 or more,a RECORDED Notice of Commencement is required. SUPRLEI1lLENaTAL,CONSTRUCTION: LIENS LAW INFQRIUlAT10'N' — — 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 YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NO MENCEMENT." f n0 Signatu of Owner/Lessee/Contr for as Qent for Owner Si atu of C tractor/License Holder STATE OF FLORIQ STATE OF FLORIDA /J COUNTY OF =11�kul Ill Q,r/� COUNTY OF_�ndiaM (IC-iy w The f ing instrume was acknowledged efore me The fo oing instru nt was acknowledge before me this day of 20��by this day of 26AA by 11AGI. Name of person making staat ment: Name of erson making stat ent. Personally Known / OR Produced Identification Personally Known OR Produced Identification Type of Ide ification Type of Identification Produced Produced (Signature of Notary Pu c-State F orida) (Signature of NotaqWLblic-StqA bf Florida) Commission No. g:, sT�� ni�rary PublAgal)of Florida Comrif s o�x &, Notary Public State of Florida 1) oe ^ Tammy C English $ e Tammy C English c My Commission GG 906987 ` `._ ca My Commission GG 906987 'reoFfvor :xpires01/23/2022 oFflo txpi REVIEWS GRfl'NT° � Z1?'f�ITdG gtclPl'R1/IS R PLA - MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev.