HomeMy WebLinkAboutBuilding Permit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date
Permit Number:
j ) ( f
U i_. 3, c tz -- Building Permit Application
Planning and Development Services
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: 2t-�) c >c
PROPOSED IMPROVEMENT LOCATION:
Address: Scyl> Blvd
Property Tax ID #: "15DL-" SIB l - I Q90 ^ Od® • S Lot No.
Site Plan Name: Block No.
�_`al�
Project Name: Aa o-Do`(
I DETAILED DESCRIPTION OF WORK:
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 Window /Doors Pond
_ Electric _ Plumbing _ Sprinklelrs _ Generator f/Roof ^ 3 Pitch
Total Sq. Ft of Construction: -VL Sq. Ft. of First Floor: /L
Cost of Construction: $ I (�� •� Utilities: —Sewer _Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name -Th 0-(V 1.
Name: MP Vonv-
f,�,(,
Address: l) a L¢iC�
1� /� L
Company: Dn 0- 1�1 kaio
City: ��ItCAch State:
Address: 155��J 5I�
Zip Code: � � s%� Fax:
Phone No.
""_
City: _ �-. L� I LLI ' Stater
Zip Coder} 52- Fax:
Phone No [Q • 602-(o 3
E-Mail:
Fill in fee simple Title Holder on next page ( if differ ent
from the Owner listed above)
E-Mail p C' C�Cr j'Yl
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 ofiCommencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW iNFORMAT10N:
DESIGNER/ENGINEER:
Name:
Not Applicable MORTGAGE COMPANY:. Not Applicable
Address:
Name:
Address:
City:
Zip: Phone
State: .
city: State:
Zip: __ Phone:
FEE SIMPLE TITLE HOLDER:
Not Applicable
a BONDING COMPANY: Not Applicable
Name:_,
Name:
Address:—
Address:
City: _
_
City:_____
Zip: _ Phone:
i -
Zip• Phone:
A4AlhECQ/f"hww•eswrr�n w.wr.
._ _ _ _
-- -•fy -r . wf v I �+v I vn nrrrr.+vr 1:'Application is nereny made to obtain a permit to do the work and installation as indicated.
I certithat no work or installation has commenced prior to the issuance of a permit.
St. Lucie Counmakes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflty ict with any applicable Nome 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 Vour Notice of Commencement.
of Owner/ Lessee/Contractor ash t for owner
STATE OF FLORIDA
COUNTY OF .. Lu-C c)- .'"_`""" .
S• ^,jAo'(or affirmed) and subscribed before me of
��LA
P�h,vsical Presence or ;'''Online Notarization
this-Iday of. �! t- c� r 2024 by
r'(
Name of person making statement.
Personally Known OR Produced Identification
Type of Identification
Or 14NAA00ublic Ste% of Fkfta C
STATE OF FLORID ,
COUNTY OF,.._.._,
Swor o (or affirmed) and subscribed before me of
Ph sical Prese or Online Nqqtarization
this f day of._ .� .- 2024 by
Name of person making stateme t.
Personal] Known OR Produced Identification
l e of Identi anon
Wroduced i�
(Signature of Notary
Commission No. _ Cpy on GG 985470 Commission No.
7 „` �t Expir3� 0� 5/2024 Y
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REVIEWS FRONT ZONING SUPERVISOR ' PLANS VEGETATION
COUNTER REVIEW REVIEW REVIEW REVIEW
�jowy �&Jic stew of Fw de
Pamel
o ��ion� GG 05470
My Co
Expires 0511512024
SEA TURTLE MANGROVE
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