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HomeMy WebLinkAbout6 julia permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ©ate: Permit Number: Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone. (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: Commercial PROPOSER IMPROVEMENT LOCATION: Address: Property Tax I D ##: Site Plan Name Project Name: l r DETAILED DESCRIPTION OF WORK: T , New Electrical Meter Second Electrical Meter CONSTRUCTION INFORMATION: Additional work to be performed under this permit- check all that apply: Residential ✓ Lot No. Block No. Mechanical _ Gas Tank — Gas Piping Shutters Windows/Doors Pond T Electric ` Plumbing _ Sprinklers _ Generator — Roof Pitch Total Sq. Ft of Construction: 1 ZOQ Sq. Ft. of First Floor: 1.�_n0 Cost of Construction: C� � Utilities: _%e,!!rewer _ Septic Building Height: OWNERAESSEE: City: � - State: Zip Code: l ge Fax: Phone No_ A- (d— -7 E-Mail: bDL ZO '$$ C, . r r. Fill in fee simple Title Holder on next page ( if different from the Owner listed above) CONTRACTOR: Name: '],- Company: Address: 9 Vier 16 ktS City: C-A!) (L A State: FL Zip Code: � Fax: Phone No Zcqj - -j E-Mail IDbL4 Z-Zp DC State or County License C&C If value of construction is 2500 or more, a RECORDED Notice of Commencement is required. If value of HAV£ is $7,5W or more, a RECORDED Notice of Commencement is required. . WTAL CONSMU BEN LAW INFOR ATION;: DESIGNER/ENGINEER: V Not Applicable Name: Address: MORTGAGE COMPANY: Not Applicable Name: Address: Cam: State: Zip: Phone City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: Not Applicable Nate: BONDING COMPANY: Not Applicable Norris: Address: _ -- City: Address: City: gyp' Phone: Zip:._ . Phone: UViflllWV CCirNTRACTOR AFFIDVIT: Application is hereby made to obtain a perfn t 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 Coup 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 restrictor 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, pprforrn the work in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amertdrnents--- The -follom ing building permit applications are exempt korn undergoing a full concurrency reviews: room additions, accessory structures, swimming pools, fences, walls, signsp 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_ e County and posterlgn the jobsite before;the - ifrst in�, "€sn. ifyou intend to obtain f nancing, consult with lender or are 9U=064 before crarrtmenring work nr ¢r nrdi a unr rir Nnti*4 nF Signature of Contractorjucense Holder Signature of Owner/ Lessee/Contractor as Agent for Owner STATE OF FIrO . A STAVE OF FL A COUNTY OF � , COUNITY OF � Si- rn to for affirmed) and subscribed before me of Sworn to or affirmed) ( ) and subscribed bore rase of Pre n e or Online Notarization � Physical lire or Online Notarization this . r n day of 2020 by AL this JL day of 2020 by Name of person making statement. Name of person making statement.. Personally Known OR Produced Identification Personally Known OR Produced Identification Type of ! ti / Produced t i 'D Type of !c€entirgn �� ---- q Produced l� (Signature of Notary Public- Stateof Florida) {Signature Notarrx puublicc-ccS��tate of Florida ) C Commission No_ �� (Sea!) Commission No, 7 d� (Sea[) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETA,-nON S€ATURTLF MANGROVE COUNTER REVIEW REVIEW RE\nEW � REVIEW REVIEW REVIEW DATE RECEIVED DATE i COMPLETED ,.= V . J/ XAJ Z-U MANDI CHANCE . Notary Public. State of Florida A ,Gm MANDI CHANCE o G Notary Public, State of Florida My comm. expires .tune 18, 2022