Loading...
HomeMy WebLinkAboutApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: `1z LQ L`' 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: PROPOSED IMPROVEMENT LOCATION: Address: S' C!' . ,1 ;�C7X`Y�im. ; :1 ��o Property Tax ID #r: Site Plan Name: 1 Project Name: N 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 _ Windows/Doors _ Pond _ Electric _ Plumbing _Sprinklers _ Generator _ Roof Pitch Total Sq. Ft of Construction: �172ua Sq. Ft. of First Floor: 72 CC1 Cost of Construction: $ 8 3�1 Utilities: _ Sewer Septic Building Height: _y OWNER/LESSEE: CONTRACTOR: Name 1 ,,�� Address: 2�7 .I) Name: Company: Ca Address: S 2 Z city: - State: Zip Code: Fax: City: State: rL Phone No. Zip Code: "C Phone No I& Fax: W E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail i b • S State or County License C 9ri ► J • COM 751955 It value of construction is Z500 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. .. .-• ' i - -fit C' 0-0 rOu DESIGNE 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: 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 an applicable Home Owners Association rules bylaws or and covenants that may restrict or prohibit such structure. Please consult iA th your Home Owners Association and review your deed for any restrictions which may aply. 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 appro•,red plane 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-residentiaWse 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 financin& consult with lender or an attomey before commencing work or recording our Notice of Commencement. Signature orowner Lessee/ n ractor as Agent for Owner Signature of Con ctor/license Holdfir STATE OF FLOW C� STATE OF FLORIDA - COUNTY OF � COUNTY of o Sw n to (or affirmed) and subscribed before me of Swgrn to for affirmed) and subscribed before me of S7wdwmm� co o Ical Prese or Online Notarization day (arc Physical Presence or _,,_, Online Notarizatio m Co M this P, of _ o by this day of . 202o by cv o 2� r �v •' !� E l� L �- Lam- /�' c� N c _Z c� 1 S cr .N Name of person maki ement. Name of person making statement. © � Personally Known OR Produced Identification Personally Known OR Produced Identifiica e Q . -e ` a Type of Identifica on Type of Identification i Produced Produced �S t atur a otary Pule f Flr ri �� omeZ (Signature of N ' . - '`'' Commission I GG161404 MARIAR. BUR' N `• •°"- Commission No. _= a Expi�. November 16, 2021 Commission No. Commission # 49 `� thru Aaron Notary Expires ires August 023Bonded Bonded Thru Trov Fain Insurance 8 - 8 - 9 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev. 576720 . 1 � .l 1•r .1 _ rr • +�,r •Y � _•,' •.1I• +tr 'Ll. 1� 't,_ � .i; �:t{'1 1 - - __ 1 1 6�1_ FF) l 'S., 1'1 �,. .-. .. _ ,1 •,+,- ....•. �__ -_ ._ _. .• .- - ... _- 1•. r , i-- ... y.... ,,.,. _ .._. .. ._. .. ._ _., - -.-',. _ '� ?- it 1 •. - � � :� . .r._ r�, • _ > -•. ♦ r• _ emu._ .. � rI - .. - • � f .r .. '. •• .. •: rr1. -. .._ . _ _ - Jrr- .. - .__ -. _•••.• _ •.... ._ •. .. .. • a._.. ,•r. �. _.-.� . f r.-. - - V _. ••I-- _•I..-• _• , . .. >_ ar __ -lit... .. ... _ • I_:,C:• •-•. _ �. r .. ... . . A Wife .t' .o ,. - ± 11 ,[ -j ` •1:l .tr:'n! i; :'s.. r. �f i Wbow ': - •:` ,r r r W ;Vtt Mn t 1 .. •. , _ t: .i l ' i 71vO . _-t • •1- • _ , - K r 1710. . _ . - �' ii- !. _ a" 1 i.101 r•l S. r t '9: A - -' 10a 1 i `, l2• •tLr l _ • t . .. 00 t .': - /.;i - 4 . r . j ra it . • 4 ,•._ - li" - : - �.. , - i•_ f '.- -t• 3• - r i•}...� 'i,• il�'r, !r - ��: onT •1' '.i. >• .�� .1 .i, � - L 1' t _ r 4°.` : IrT♦ - . - .00.L F ,�1 _ ` f' a. 5 .ram•: _ - r. _ y r r i '�I. Jt 'i - '�: ,�' i? - .:��' � i S .>• r 1 �: 11 a - ', 1 }1 - .4; - _" _ - '# 3' .t..�;ri j =1 it .. .. .. _.- a _. ..�. _ . - - t .i .� •c - . - � ° � .-�, .. ... .. I) _ _ � _, .. .. - .. .. _ . ] -. _ .. -. - r •f _ 9 '�- j �1 _y^_�ji !Y • .. 's`: f •i _ •.'�i•@ •S'" "r'- -:Y- r t r ' i._r'� i _ -� '7 L•� �!( - wL ; °.i -�� _: l I�,t 1� .1/. ri, t Al L k :•.� Z 5 . n i or i :1"•jt li a - 1 1 'c. - - - yi 1♦ �Y: t.- .: .- fi. .. 'i._ u . L 1. _ __ t, � A �_. -_1 t •1 .l 1.. _ YA 1 • 1 ' y 1� � f ....... _ ... . • _ . ,, .... _-. _.� ._ . - - • -- •- •- .-... �_ ...,, . ; -.ter ._ _ .. .. _. - v-_ . __a .. - ..... _ _ ..., .. _. - .. r '. :. tt xJ E•.S.P. ,� 'x 1. •' .f . (: l�.: t t -l. r i' L J .✓ r� r •j;'t v -r _ ._ ..M fir' qf ! � 3 1 17 i ii� r ; . � �1 - i•'�.r.,s:�.-•r �t -r'. r-i'�r. 1 �_-J-'.1'.��.... 'ice _f••it. t:. •_ I.yl., t .i'- 1 _,. . -lt1 - �. •rt .. t - \ :SS (. `: •k •4 "• 1 ��..1 r� ra S •T 't+' ' - r'.r �: ,li- ,r ��. x �. ti ,. �yJ ` i� _ _ �.. ... �l. - t•t.-_r '.Y1�.p l- 1�1 Oro: .r•-:�' i -r.- .r..... _ ._.._• .. _.. r ,S• I ,1 Y - Wit. N •. ♦F� N. 9 a• / l -1 r��~ J � / 1'. •.•' - t� + y. f ! -f I ��� "•_ I � ,{ - I -, 1 o. 1 « y i - to . 1 , • AN 1 <.i ..f •r • All .. �•r /. + , \. r Son - ` _ . r• _.. _ __- ... ... 1 - 4 ... -. '� ... ,. _ 1 - .r .... _ _�. •...� _ Y._. ...� .. .. .• M,. ._ .. .�..-_. .� - .- ... e+• -. -w_-_ a .. - r.. t. _ _ _ • - - .. r.. -.. 4 `r.V_ .a: