HomeMy WebLinkAboutBuilding Permit App & DrawingAll APPLICA LE NFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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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: rfeVl c.e
PROPOSED IMPROVEM' ENT'LOCATION:_
Address: _`� / r J it AY I -C I% r
Property Tax ID #: 130 - 5'tSD -6U-7(a - w&—q Lot No. 7�
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Site Plan Name: Block No. I,GI
Project Name: -kokmew R
DETAILED DESCRIPTION OF WORK:- " 77
IOP✓-�� l L2i e _ Coyio /c h6o U bov -e !e/l te1' k 5 i Je o`t 41i1Gle
Itilld CVl l e d/ cc Tl r
New Electrical Meter Second Electrical Meter 7q of
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. Sq. Ft. of First Floor:
tti -
Cost of Construction: $ .� Utilities: -Sewer —Septic Building Height:
N °E E.
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Address: 17/ 3 I�F,tg l,e b k •
City: f 'f' - -P State: F7 L-
Zip Code:.30�T1 Fax: h // ON,
Phone No.7%�) - .3�16-
E-Mail: 11 It.1-
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
Name: ' Y
Company:0 0.PMa_k? fi-o (l_
Address: (/! D 075� �O l l� �t2_� ► G(.V�
City: PSI _ State:_E_
Zip Code: 3gyk3 Fax: K °`
Phone No 1 yU.'7 )-q
E-Mail Q m0 N W CL°[N C C� 9YHQ (�• obv
State or County License Lt�`117 S�
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.
'SUPPLEMENT "L`CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable
MORTGAGE COMPANY:
Not Applicable
Name:
Name:
Address:
Address:
City: State:
Zip: Phone
City:
State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: ,(dot Applicable
BONDING COMPANY:
Applicable
Name:
_Not
Name:
Address:
Address:
City:
Zip: Phone:
City:
Zip: Phone:
OWNFR/ rn1UTDAr-rAn Arr,mw..__ _
— - -- - --• - • vn of rRJ V l 1 -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 CouM, and posted on the obsite before the first inspecti f ou intend to obtain financing, consult
with I er r an a rney_ for commencing work or recopi1ing yo Notice-oLCommencement.
as Agent for Owner j Signature of Contractor
STATE OF FLORIDA v I STATE OF FLORIDA
COUNTY OF < T, C._ C—C COUNTY OF 7 Lr
Swor o (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this � day of c' F 2020 by
,_ N r i C,, l b N
Name of person making statement.
Personally Known ' OR Produced Identification
Type of Identification
of
rP41 CINDYLALCHERMES
Commission No. 2 ����` Notary Pu �abtate of Fionda
Commits on GG 355317
'*o�� My Comm. Expires Jui 17_ 20Z3
REVIEWS I FRONT— I ZONING
COUNTER REVIEW
DATE
DATE
COMPLETED
Sworn to (or affirmed) and subscribed before me of
__Vi!lh'ysical Presence or Online Notarization
this 4— day of I, &,- ( 2020 by
Name of person making statement
Personally Known
OR Produced identification
Type of Identification
Produced
(A
(Signature of Notary Publi
:'1►R'pG""•.
CINDYLALCHERMES
Commission No.
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•:
Not W c - State of Floridah�.:
($
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Commiss�an ; GG 356317
My Comm. Expires Jul 17. 2023
SUPERVISREVIIEWOR I REV EW I VREV EWON I SEA REV EWLE I MANGRO
REVIEW
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