Loading...
HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO -MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: �'d . a 1 Permit Number: RECEIVED : JAN 2 0 2021 r � Building. Permit Application permitting- Lu 1e D �yent Planning and DevelopmentServrces Building and Code Regulation Divislon COmmerdial Residential 2300 Virginia Avenue, Fort Pierce FL 34922 Phone: (772) 462-1553 Fax: (712) 4624578. Property Tax tD # Site Plan Name: f New Electrical Meter Second Electrical Meter CONSTRUCTION INFORMATION: Additional work to. be performed under this permit— check all that apply: Lot No.i:�'_ Block No. 4/ _Mechanical _Gas Tank _Gas Piping _Shutters _Windows/.Doors _Pond _ Electric . Plumbing —Sprinklers _ Generator _ Roof Pitch. Total.Sq. Ft of Construction: Sq. Ft of FirstTloor: Cost of Construction: $ /3�So0- utilities: _Sewer- _Septic Building Height: OVIINER/..LESSEE:. CONTRACTOR: Name Name: Address• 19. ( .Company: City: _ dt S c�crr.•.e.� -State; L Addres : o?(c8' -90 !c� Zip Code: _3�9�.3 Fax: CState: FL Phone No.2;U 708- -%�Jlp Zip Code: fax: E=Mail: Phone No Fillin fee simpieTitie "older on ,next page (if different E-Maii it IfJ C°. oYIS ®Cina-e < <,D�i't from the Owner listed above) State or County license C&C /e?J"S3 y� er value oc construction is ZS0© or more, a:RECORDED Notice of. Commencement is required. if value of HAW is $7i500 of more, a RECORDED: Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LiEN. LAIN INFORMATION: DESIGNER%ENGINEER• • _ NotApplicable licable pA MORTGAGE COMPANY: Not Applicable Name:('�_A,_ �d �,.,P��;e� ED k. Name: Address: G ° i Address: City, Zip:33%a Phon State; 0-9/_"8o City: State: Zip Phone: FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: XNotApplicable 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. 1 certify that no work or installation has commenced prior to the. issuance of a:permit. St. Lucie{ which is h structure. the such in consideration of the granting of this requested permit) I do hereby agree that i will, in ail 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 attomev before commenrins+uimrk nr recnrtltne vnur Nritice of Commencement: 0 F , Signature tt "cen Signature o er ontractor as A nt for Owner STATE OF FLORIDA--- j_ Luce STATE OF FL COUNTYOF > I COUNTY OF L .Sw to (or affirmed) and subscribed before rile of Physical Pres ce or . Online Notgrization orn to (or affirmed) and subscribed before me of Pjiyslcal Prese ce or Online N tanzation this day of . 2(ip� by this ? day of 2t( r by t Name of pers6h maWn—)iWem.ent. Name of persqn maki tement. Personalty Known � OR Produced identification Personally Known - OR Produced Identification Type of Identification Type of identification Produced. $roduced gnature o Nota: Public: Stat o I a ! Notary Public State of Flo Si ure of NotaryPubt c- Stat 1Public Slate Or `� idi g unme Merritt Woodard : My Commission �' fBunnie Memtl Woodard No: a Common HH 039 Commission M, HH 0398Commission 82 '�i•p es 09/0712024 tom isslon No. U cry (SjgIj 'oar aP Expires 24 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED v- -