HomeMy WebLinkAboutraintree flat appAll APPLICABA INFOrZ
UST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:'tfZU6I Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Commercial Residential _
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION
Address: 1 3 '
Property Tax ID #: 3 2 Q GO 2 g 0C
Site Plan Name: G S
Project Name:
WDETAII�LEDDESCRIPTION OF WORKI Vf1 ./ YY1�,1/D / x l
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
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Lot No.-2
29
Block No. —�
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
'a" Pitch
Total Sq. Ft of Construction: _ 3 a- 1 Sq. Ft. of First Floor: jl�__
Cost of Construction: $ �� Utilities: —Sewer —Septic
OWNERAESSEE: CONTRACTOR:
Name Name:
Address:
Company:
City: State'/ Address: (�
Zip Code: Fax: City:
Phone No. Zip Code: Z
E-Mail: Phone No_��a-3
Fill in fee simple Title Holder on next page ( if different E-Mail _� f �'
from the Owner listed above � .�h
� State or County License_ G
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.
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Building Height: /S
Fax:
State:
v, I'
„NN„LdCion is nereny 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 attorneybefore commencingwork or recordin our Notice of Commencement.
V
Si nature of Owner/ Lessee/Contractor as Agent for Owner SlHnatu e of C-nntrn nrli i u W.
STATE OF FLORIDA
COUNTY OF
S orn to (or affirmed) and subscribed before me of
ysical Prese or Online Notarization
this day of 20 by
r rile
a e of person making temen .
Personally Known1pR Produced Identification
Type of Identification
M
rT;/;l �^ r_� —
Agfie ot Notary Public- SPtisorida kgiNER r: NE HAVENS
nl MYCOM ISSION#GG165030
Commission No. °> 6R (S611I ES: DEC 04, 2021
Bonded through tst State tasurance
REVIEWS I FRONT I ZONING
COUNTER REVIEW
DATE
RECEIVED
DATE
COMPLETED
STATE OF FLORIDA
COUNTY OF /
Sw n o (or affirmed) and subscribed before me of
ysical Prese a line Notarization
t s day of 2020 by
Jq
aL
Name of person making s atement.
Personally Known R Produced Identification
Type of Identification /<
re of Notary Public- State of Florida )
Commission No.
SUPERVISOR I PLANS I VEGETATION
REVIEW REVIEW REVIEW
KAiHj§;�bt `� PIS.v:
�° COtlk4ISSION ; GG16503E
EXPIRES: CiEt` 04. 2n2 i
,.�kra,'1re
SEA TURT
REVIEW
REVIEW