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HomeMy WebLinkAboutBuilding Permit Application'_Alf APPLICABLE INFO MUST BE CGwikETED FOR APPLICATION TO BE ACC EPT-v��� Date: 3� a1 Permit Number: RECEIVED COUNTY iM MAR 12 2021 Building Permit Application Permitting Dn�arfm@ . Planning and Development Services St. Lucie c �rrfif 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: 1 PROPOSED IMPROVEMENT LOCATION: Address: 1� 1� (�' ocv f" Property Tax ID #: 2 1'3C m 7©® - 00o r- oao , Lot No. Site Plan Name: E P I /k1 Block No. Project Name: r111 A J DETAILED DESCRIPTION OF WORK: 0& 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 _ Windows/Doors _ Pond Electric Plumbing Sprinklers T Generator _ Roof Pitch Total Sq. Ft of Construction: Tk 'i Sq. Ft. of First Floor: _ Cost of Construction: $„�y Utilities: —Sewer _ Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name i /► n et- Name: Address:I C9 S A Company: ` _ City: �,`P¢:^� it% Stater Address C" Zip Code: Fax: City: t State:L4i- Phone No. �% 7 �� " , 7 �" Zip Code: I Fax: E-mail: d^ / 4trgy 181Phone No 77 1, 1 ?- Fillin fee simp a Title Holder on next page (if different E-Mail fv� P1 from the Owner listed above) State or County License ©' & CY If value of construction is 2500 or more, a RECORDED Notice of Commencement is requ If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement Is required. a .! •-..i SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION,: 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 anornev before commencing work or recording vour Notice of Commencement. as Agent for Owner STATE OF FLO COUNTY OF �fh l to (or affirmed) and subscribed before me of hysical Presence or Online Notarization N day of , 2026 by of person making statement. Personally Kno OR Produced Identification Type of Identifi tion Notary Public tate of Florida Commission No. _ Y� Danyel • My Commission GO 352016 7a�d Expires07/04/2023 Alue Signature of Contractor/License older STATE OFF b± COUNTY OF�e Swor to (or affirmed) and subscribed before me of hysical Presence or. Online Notarization this ay of2020 by Name of person making statement. Personally Known ��R Produced Identification Type of Identification Produced (SQgure of No c- a c'oT �riaa�l- - Note ubec State r tT Danyel Jones Commission No. . My Commis( of M1 xpires 07/ 12023 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Kev. 5/b/2u