Loading...
HomeMy WebLinkAboutBuilding Permit Application Ali APPLICABLE 0411F0!� -T 8E COltilPLETa©FO4i APPLIE47ION 1 ci 8E A6 Ce PEE® Date: � Permit Number: 10#9 J ?w' I :z :: FIZZO _ Planning and Development Services I :e 8uildina and Cone Reaulativn Division Commercial Residential ii 2300 Virginia Avenue,Fort Pierce FL 34982 B Phone:(772)462-1553 Fax:(772)462-1578 I1 : °1 PERMIT APPLICATION FOR: ° : i;k�.�h>..�;�b Y'��;�ln�{;...��.�.s, fz>.:,.��-Crf,..�...T���,�,.,.N.�:c..;.,^�a��;,va,'.'};�,:�T��S ��', .;, �.� ��3„r', .� ,� q.��;N,��k`.�•�_>�r_,��, � I�,e,:;.:�,,:..t��� :�, !: ° Address: M2 )i*,o (Z .Z417L I PronertvTaxlD#: �� %� 0�10 �13o� Lot No. odd I O Site Plan Name: Block No.3�l Project Name: :i {t Jf ;.di ?1t§i,;xa t§re ;ivlPait�= tf-«g {�p5at}�3�a��;��,u�7t�,3���fi t ,•,� X���,!ti u� t -�:k �. ;�'x�t t,'" k�, i IA�`F�ht _.�, �+ 4 `ir ` a. i..tx a.a.e.. "�-.ea'• � � � �` s#�> a �YT �ftt e �.te3fi.$'� lf;D D��CR�IPT�`Oi�OF 1NOR1�. � � � �F� �. • � ���. .�.�- �,��.��� �.� .�.��, k ,u ;. . OF 1 14TII . n,c�T�-SDo �451 ii New Electrical Meter Second Electrical Meter ty< r r`w,rr .a.r•r raw 1w5 w w r�r,a 4 sna.��s ff� .,� � � � .n �.�r� .zt 'ki tti� - 1�3.&+�t��nsate.��isias�&s�A3iue.s:tmt�sa,£ir�uaUsvi�siEeitrafnsl'si>try„i5��iiK�,+.t�a3:�#f�f��s.a'-�iia'S�ain{i6 Additional work to be performed under this permit—check all that apply: I _Mechanical _Gas Tank —Gas Piping _Shutters _Windows/Doors —Pond •° _Electric _Plumbing _Sprinklers _Generator _Roof Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction:>$.. I ��� Utilities: —Sewer —Septic Building Height: ii ,t_.. >t �;'` �����`tSt - �3{9 "� ta•J j.�t�` '�a `i �'c. '{tti� '� �k r } ;', # s l r #C< f t�'yi w�W S#f i-��. $,y�ie #`S Name Name: Address: 9-;toz n Company: 11 P IICity: 20. 'Plefeso State: Address: I: 7iM!. °e: 95/ Fax: it:: : IPhone No. 7'y01 w V 75 /41 Code: Fax: E-Mail: % Phone No I Fill i c imple it12 Holder on next}+agc if di�� rei�t E-Mail fromOwner listed above) State or County License 0I o II If value of construction i5�..eCC Or more,a^nRE a.Ca7n •i''a�i$ice of�t,irlm@ni8mena IS required. If value of HAVC is$7,500 or more,a RECORDED Notice of Commencement is required. fl {v�111.-a14j:Yi '15 1...''A�'_i�`w.a.v�X11..`�l\l a1.f'l1"l4'.{- 14�1-.411�} .wC�'SSZ�ft4'S't1.lYL�.tiSL,51� k�.,`.1'. .a�.1.31t f.� Y S '• ��L.k.Y'LL-�..-�`-.�..-1.K 3�.k."'�l�,S':1� SUPP[.EMENTAL:CONSTRUCTIONIIEN LAW INFORM,4TION DESIGNERIENGINECER: _Not A'rplicaLle FsinP4s�•' •''�ft"5'F.!°3' �:i1t d nl :^hlc ... pr.... ....,. Name: Name: Address: Address: City: St City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: _Not Applicable Naiiie: 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 r-.r this requested permit,!do hereby agree that i will,in all respect_,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 iobsite before the first inspection. If you intend to obtain financing,consult with len der -or an attorney before commencing work or recording your Notice of COriirnef cement. ignature of Owner/Lessee/ ntractor-s gent for Owner Signature of Contractor/License Holder STATE OF FLORIDA / STATE OF FLORIDA (10.111 MTV Sworn to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of Physical Presence or Online Notarization Physical Presence or Online Notarization thisay Oi ZuZ by" this day of .Zi;ZG by I� 44az 4.I� Name of person makina statement. Name of person making state.••ent. !. .I Personally Known OR Produced Identification Personally Known OR Produced Identification I Type of Identifica ' n Type of Identification Produce D (I Producer! (Signature of No ry FW R; ate4 i�V)! (Signature of Notary Public-State of Florida) 6LOOLZ 99 # uoissnuw03 ._ Commission No. 01lqnd ARION 9PPOH ftaiall S d�,�°� V 2: 'Bi�iii��� Commission No. (Seal) I REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE i RECEIVED DATE COMPLETED Rev.5/fijl()