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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: ICI . ��l Permit Number: RECEIVED 9`ro LUCE -�� .. APR. 19 2021 �� LC ° :FAD-, Building Permit Application �Mrmim.-,g Dapartment St. Lucie County 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: v aC Address: 'c0 UGC. . Property Tax ID#: a D-000, - 000-1 Lot No'. Site Plan Name: e3 user , Block No. Project Name: LA C DETAILED DESCRIPTION�OF UI/ORK � -�� N ': 4:: F' ....;': C ....'� ..r t.,.•f ,. , . ..' .+;A�f 2. , �:. ....�: ,.E..,r. ] 3)%S 1 f; 3 a 3.tic. 5 lwj"_ �+ }"5 d New Electrical Meter Second Electrical Meter Additional work to be performed under this permit—check all that apply: Zmechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors _Pond _Electric Plumbing _Sprinklers _Generator _Roof Pitch Total Sq.Ft of Construction: Sq. Ft. of First Floor: Cost of Construction:$ - Utilities: —Sewer _Septic Building Height: QWNEFt/LESSEE 4 ; ' ' ` F CONTRACTOR ' y �° TM x 5 fVame: "� ra ,fC ^ Name: 1 ;4ddre r; *s ' S Ce Company e4"1 C - T<• =- Cityb <. e State:fL Add' " -.91 e..S� �R.-6s.h . r. -Zip Code: Fax: _ _ `- y City: © State: Phone No. =4D, 735---:713a Zip Code:..2�q, Fax: Fglc?` E-Mail:006q 5:. =30 @ Co,itu4sf y X2� Phone No 7744, ,:?C; -,570 Fill in fee simple Title Holder on next page if different E-Mail l Lf4 dll.l' -7761,0 /416e L from the Owner listed above) State or County License �,Oc�''�S 2 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. SUPPLEMENTALC ONSTRUCTION LIEN LAW NFID ATION 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 attorney before commencing work or recording our Notice of Commencement. Signature owner/Lessee/Contracto Agent for Owner Signat9fe of Contractor/License Haffer STATE OF FLORIDA ► STATE OF FLORIDA COUNTY OF � L-otcl e• COUNTY OF -S;f' L ucI p- . Swop to(or affirmed)and subscribed before me of Swop to(or affirmed)and subscribed before me of ./ Physical Presence or Online Notarization ✓Physical Presence gr Online-Notarization this day of 2020 by this )? day of 202P by Name of person maki ' atement. Name of person making staterdent. Personally Known i OR-Produced Identification Personally.Known ✓ OR Produced Identification Type of Identification Type of Identification Produced Produced UVV4 A. ' l (Signature of Notary/nPu/b[li�c-Stat of Florida) CAROLA WEAGLE (Signature of Notary Public-State o ` ) CAROLA WEAGt.E � V 1 1 S 3 4t&eaC1)'E=xpWWesm *GG 1953 1 Commission-No.- � (�ea[3�mmlrslon#GG19533 GGS33 Aprll5,2o2z n--_-ExpkesApr15.2022 Commission No. Banded ltw BudgetNotary s BoMed Ttw Budget NotM Sear e. REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev. t