Loading...
HomeMy WebLinkAboutBuilding Permit ApplicationAll APPQCABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE- ACCEPTED Date:/ Permit Number: RECEIVED MAR 01 2021 Building Permit Application Permitting Department Planning and Development Services Building and Code Regulation Division Commercial 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR:. Address Property Tax ID #: Site Plan Name: Project Name: 0 New Electrical Meter Second Electrical Meter Additional work to be performed under this permit- check all that apply: _Mechanical _ Gas Tank . —Gas Piping _ Shutters _Electric _Plumbing —Sprinklers Total Sq. Ft of Construction: A, v ou _ Generator Sq. Ft. of First Floor: St. unty Residential Lucie Lot No._ Block No. Windows/Doors _ Pond " Roof Pitch Cost of Construction: $t'�i© Utilities: —Sewer _Septic Building Height: OR 11 Name ti%f S Name: Address Company:, City: C� 06-7 6YO it Zip Code Fax: Phone Now Statee-fL- Address:' City: State: Zip -Code: Fax: Phone No E-Mail: zL" /i/1 IS H6/1�1-a, (N N11C0,6M Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail 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. x'NOME M7C3GF �S. O DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: Not Applicable Name: Name: Address: An Address: City: State: City: State: Zip: Phone A! 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, wafls, 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-encNr or an attorney before com* mencin work or recording our Notice of Commencement. au'o""f`®iuraerj Lessee/Co ctor as Agent for Owner �.�. Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA /� COUNTY OF �U` ��, COUNTY OF Sn to (or affirmed) and subscribed before me of Y Sworn to (or affirmed) and subscribed before me of Physical Presence or Online Notarization Physical Presence or Online Notarization this � day of ��, 2021 by this day of 2020 by Name of perso aking statement. Name of person making -statement. Personally Known OR Produced Identification V/ Personally Known OR Produced Identification Type of IdengiLration Type of Identification Produced L Produced (Signs ure of Not ry Pu ic- S ate of Florida) (Signature of Notary Public- State of Florida ) Commission No. KAj1aS. NIELSEN FI nda-Notary Public Commission No. (Seal) state =. ■_ Commission # GG2 074e84 - _ OfF '"' Jun 12, 2022 REVIEWS FRO PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.