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Home My WebLink AboutBuilding permit appAll APPLICABLE IJYFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Dater o2 Permit Number: �UL[IP c IL °` Building Permit Ap licatin Planning andDevelopmentServices 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: Address: Project Name: _ New Electrical Meter Second Electrical Meter Additional work to be performed under this permit- check all that apply: Mechanical _ Gas Tank _ Gas Piping _ Shutters ZElectric _ Plumbing _ Sprinklers _ Generator Total Sq. Ft of Construction: _ Cost of Construction: $ Lot No. Block No. _ Windows/Doors _ Pond Sq. Ft. of First Floor: Roof Pitch Utilities: -Sewer —Septic Building Height: Name e © d -:T hC Add ress:,_9I AM cet11 latlL 1,(aC.P City: rI � a� t;,►b e State: V1 Zip Code: 17,0(,12 _ Fax: Phone No. E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) Name: 1 l(iL � Company:_ Y- e City: l-_Q Y-t r Q. M� Zip Code: ---�IL4 Fax: Phone No E-Mail (Y1AC kJ Q_Z 5)R State or County License6�-6 if value of construction is 2500 or more, a RECORDED Notice of Commencement is required. If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required. i State: rP�BC i[_.1T ''"•'�$ r 3'.t\� �: �St,� � h, �:k '"fi �$S4,F �;.Sf„„-d�''��'; k'��t.5'?,.',��.<.:��.�£;,:;.�,",F`i�4.�.��,�",v$w�'„+e..t: „sue ..`x:Ji✓ tK_ ,N< �'.o ..f't.,: r�r'"�gs' .l.?a'4 i �...j 4 y .. ?.-.i�S'..g'", n %'.a.'it�fr s"��'.`�,'.�"tr%,, rt. ^'u'i 3: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 your Notice of Commencement. Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORID� /---" I STATE OF FLORI eI Cal COUNTY OF COUNTY OF 0O Sworn to (or affirmed) and subscribed before me of Sworn ° (or affirmed) and subscribed before me of P;'cal Pres or Online Notarization ✓P„t�ysical Presence or Online Notarization this �_� ""y of 2020 by this �9day ofMa yP 2020 by Ew Name of person making �,statem t. Name of person making'statement. Personally Known OR Produced Identification Personally Known r/ OR Produced Identification Type of Identification Type of Identification Produc Produ edPT4 (Sign of Notary Public- Sta of FI r da) (Sig_na't_u_r4 of Notary Public- State of rida ) Commission No. D'//� 1.*N , LINDA MICHELLE CIL RV �//eat)=yPablia-Sca:eatF:araa yp Carrrissicn = CC —t Commission No. I Seal) 327614 '''.oF A.d°%• My Comm. Expires Apr 24, 20Z3 ~ tiSY ro'.. LINDA MICHELLE CLaRv _A; Commissions C32761a REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION t��' �Y �p� Aires "'"tndckhFldl�4aNc ;*� d�!1. S : OVE COUNTER REVIEW REVIEW REVIEW REVIEW W DATE RECEIVED DATE COMPLETED Rev.