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HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED j Date: ��� 11i126? 6 Permit Number:0 • ©��! 91To 9464 "'"Jk k 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 1// PERMIT APPLICATION FOR: y�-�*q.r Fr: ra ars+�e�•-ti�P^ :n ��r°•sa.s,a �. {rc °ry 6..��..�- air n�e+,`y a R4.li`',$+t'S`I"Y' rs'?L•r.,1� PR"O�POSED IMP `b`/E/If NT�LOCi�1l�1`iN �` s ,3�.. „ea. F"Y S'' .rl*`�iv• •%- �'�',ran ,P�7.�'�x•�`�t!' S's.2t,uai•` r... •keri'rIIi } r Address: S 00 -S cIsa .TA/AIF-%%J f�lifT�� DV(V �Dql f- d W-CF i F1,;. �'y4D L PropertyTaxlD#: 60-2-0)ILot No. Site Plan Name: ?1-/'I Ida J=b'�f o � V( L I#\J Block No. Project Name: ��C ICI% \)O,Fk New Electrical Meter - Second Electrical Meter, Additional work to be performed under this permit—check.all that apply: _Mechanical _ Gas Tank —Gas Piping _ Shutters Electric _ Plumbing U _ Sprinklers _ Generator Total Sq. Ft of Construction: za9 Cost of Construction: $ rJ00 Sq. Ft. of First Floor: Windows/Doors _ Pond Roof Pitch Utilities: —Sewer _Septic Building Height: nk F^. ;✓,5'.t�n.53Y7 �•rt.i:.:..a�•+.._,t,:,.y :3a yiG {ty""1 {. _„ 7.t(.lf ,iK•;n::`= „ •.}�^�J t�'A 1f{{%�'A. } ;1 f,.: wv1y�-,'ta.: �ii4 �;Y:�° w�,.;c} '°/�r�' yam. y t.1},.{t tY+•.+n�'� Y fib .'t -� '.n };,' ,�OINTRA;CTOtR��F 2,.. »n_:cv��;. n. r7.rc°.:•:ii 13`=i � +�,. rrwt�.'+,.7 Name /2bW/}ZU R(�li E Name:w�r' �oMA�/► S :,.- Address: �C� � r "=` : f N r21VQZ 001ill; Cp,mpany �1 5-c0s(�� State:'!'— Address�]U �•., y�i1r-�/ .:ol�lCS , Zip Code:;°y'�': ",n3:t' Fax: City::U�-P%O'�<.lw✓/riC'"::`{s" State: _ Code:, �� J Fax: Phone No. Zip Phone No -77 ` 5-313 55 2 E-Mail: E-Mail b'eAU Sty.✓✓ Y-1 e Se 60PIAiS . I)Ld Fill in fee simple Title Holder on next page ( if different State or County LicenseGG from the Owner listed above) If value of construction is 2500 or more, a RECORDLU Notice or Commencement is requwreu. If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required. S'U,PPOEM"'ENCO`I�STR'UC} CIO I'E��I, ...mot �i F R, :WMAM MORTGAGE COMPANY: Y _ Not Applicable Name: DESIGNER/ENGINEER: Not Applicable Name:, oDA-14 rBj R.6" Address: Address:1'7l'7 f \JQ14Wl 2105Z ITI U 3, $u rtg tot City: k1g o 6R cl- Stater Zip: %246 Phonej -?io-%62'2 City: State: 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 areexempt 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 attomev before commencin work or recordina vour Notice --of Commencement. c� Signatukvof Own e essee/Contractor as Agent for Owner Signatur Contractor./License Holder STATE OF FLORIDA 11 V�` STATE OF FLO�JD' n p t COUNTY OF J—Y �L I �✓1 fl,[ COUNTY OF�2d (a n Sworn o (or affirmed) and subscribed before me of Sworn to (or affirmed) and subscribed before me of LvPre or Online Notarization Phyys�ical Presence or Online Notarization r`&y "" ysical nce day I 2020 by this of ie C° , 2020 by this of Name of person makingIsatement. Name of person making tatement. Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identification P ced Produced (Signature of Notary Public- State of Florida) (iignature-of Notary Public- State of Florida ) Commission No. ��':�;�� Sea MELAC.HUND �. ( �' 'I '.I MYPL PAMELAC.HUND Commission No. + •'•••' �OwAlon#GG334420 ,; * w Commlielon N GG 334420 s* Expires M ay 14, 2023 w Ex Irea Me 14, 2023 \o� oI"tco Bonded 8A@tNolerySeivkee ifs REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev.