HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 311 f Zvzl Permit Number:
RECEIVED
O _
' ° W ° L� Building Permit Application MAR 01 7021
Planning and Development Services Perrnkting oapartment
5t,
Building and Code Regulation Division Commercial Residential LUcie Counrc,
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: 2300 VIR&I'rJlA' AVE (Z PrERCC, 1=L_ 3`1gLSZ_
Property Tax ID#: Z —SON —0770—OC>f'—8 Lot No.
Site Plan Name: Block No.
Project Name: 11710-ri e—S 01--r«-E 5PACC ti l PgQVEAIE,u S
DETAILED DESCRIPTION OF WORK:
PAP--rt ribD tjxt_L..S 4 bOORS , ELOGTIULAL- d bsfTj4 OUTCj--_TS .
9MCA6--C/J L_tPL,t T1AJ& AnDEb T'U &-Z tS7- X,7& sp6d_'i�- AS s0o1C."O
O IU 1�It�4tJti�... r.+o.�lDO2 Idly �4fjr�c��l l3LD�x. . .
New Electrical Meter Second Electrical Meter
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: 3Y.Z Sq. Ft. of First Floor:
Cost of Construction: $ Z,S��C7 Utilities: —Sewer _Septic Building Height:
OWNERAESS.EE: CONTRACTOR:
Name L� OLL f u_Ij u Name: 1 -t
Address: XjnD W4&-1;U1X /4✓t Company:. .`R)6t:N 1 I M►Aged s-
City: e IPif�L9 State: /=L. Address:
Zip Code: 3`f9Z7 Fax: City: State:
Phone No. LA (Q 2• \\6O Zip Code: Fax: c
E-Mail:_i-jEkki,1,_1EUS0 ULue-Ar.CO-0P,C-1 Phone No _\_1Z' Z1(1p- 00 VDU
Fill in fee simple Title Holder on next page( if different E-Mail
from the Owner listed above) State or County License
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.
ldft� dad
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
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,jobsi,te before;the first inspection.,lfyou intend to obtain financing, consult
with lender or an attorney before commencin work or recordin our Notice of'Commencement.
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF — COUNTY OF
Sw-ora'to(or affirmed)and subscribed before me of Sworn to(or affirmed) and subscribed before me of
V Physical Presence or Online Notarization Physical Presence or Online Notarization
this_J_day of JA naL 2024 by this day of 2020 by
Name of p elson makingkatement. Name of making statement.
/ person g
Personally Known ✓ OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(S gnature of N taC,ytaYP rc= �t��O n LSEN (Signature of Notary Public-State of Florida )
ASP B i
,state of Florida-Notary Public
Commission N v Commission #(1w:81107a8a Commission No. (Seal)
j'F`oa,, y Commission Expires
June 12, 2022
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW, r REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 5