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HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICA TION TO RE ACCEPTED [date: Permit Number: L.� ..........,�... BUildinf 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 Residential Lot No. Block No. Address: i ., ���_ ��U� �: g City; Company: State: Address: Zip Code: ° Fax. City: neN#--) - .0l Phone a. r .�a o State: E-Mail:-_---_ Zip Code: Fax: Fill in fee simple Title Mol(�er an next Phone No pale if different E-Mail ho Qwner listed ab4ve)An- from- toyy State or County License value � _ --- of construction is 2500 or more, a RECORD value of MAVC is $7 Soo o Ep Notice of Commencement is required. ----- r more, a RECORDED Notice of Commencem q ent is required. MORTGAGE COMPANY: Not Applicable - Name: Address: City.. State: Zip: Phone: - BONDING COMPANY: 4 °ot Applicable Name: Address: -- City: Zip: - Ph®ne: OWNER/ CONTRACTOR AFIsIDVIT: Application - � -- pp ion 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 n® representation that is granting a permit will a which is in conflict with o applicable p authorize the permit holder to build the Y pp Home Owners Association rules, bylaws or and covenants that may restrict or structure structure. Please consult with your Home Owners Association and review Y , or prohibit such your deed for any restrictions which may apply. In consideration ®f the granting of this requested permit, I do hereb a e in accordance with the approved plans, the Florida BuildingCod y gre-- that I will, in all respects, perform the work es and St. Lucie County Amendments. The following building permit applications are exempt from undergoing ergoing a full cancurrency review: room additions, accessory structures, swimming pools, fences, walls, signs, screen rooms and ac censor y uses to another non-residential use WARNING TO OWNER: Your failure to Record a ` Notre of Commencement may result in paying twig for improvements to your property. A Notice of Co � Lucie County and posted on the jobsitemmencement must be recorded in the public recards of St. witer before the first inspection. If you intend to obtain. ..� ran a before commencingwork or recording financing, consult ©ur N c of Commencement.. Sign f Owner/ Le see/Coactor as Agent for Owner STATE QE FLORIDA , COUNTY OF -- AAC- , At— — -- Sworn to (or affirmed) and subscribed before me of -V Physical Prese c-1e or Onli this of ��� �" ne Notarization day 202b by Q F , Name of person making scat ment. Personally Known koelOR Produced Identification Ty e f Ide tifi_cation - c e d . , � .. (Si at f [ary Public State - - - _ , �NN1669if(Nq G. .�v� SHANNON WATTS Commission No, f =20: CO MMISSION - e 14355, ,r SEP 16, 2024 - 9 `4, Bonded through 1st State Insuranc REVIEWS FRONT ZONING S — COUNTER REVIEW REVIEW ATE REVIEW D RECEIVED DATE COMPLETED ev.-S767'a7F Sign'�te of c©n ractor ic.ense older STATE OF FLORIDA COUNTYOF 14" Sworn, o (or affirmed) and subscribed before me of PhAysical Presence or� Online Notarization this day of 2020 by Name of person making statement, PersonallyKnown � OR Produced Identification Type of Ide tification Produc d 8 ` " (Sign at"ure of otary Public- State of Florida �,,,, .#01 SHA o m rn i s s i o n NOIH�- 1W, ���` NNON WATTS b COMMISSION #HH 43 5; I EXPIRES: SEP 16 2024 tit v roc .w.. PLANS VEGETATION SEA TURTLE MAN REVIEW REVIEW GROVE REVIEW REVIEW