Loading...
HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: I 0 ' I - &C&D C Permit Nui 21T. 0 �q Building Permit Appli Planning and Development Services Building and Code Regulation Division Commercial 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: PROPOSED IMlP'ROUEMiENT'L®CATION ; 5., DEC 112020 WrMitting D partment JAL -kW -le ouhty, FL Address: '7 10 LP lac 5c" O b Z e'g 61 V-d . F--- P) eL Tr"_C'2 Property Tax ID #: / 3d1 ' (O [ ��� ( C)OD • 1 Lot No. L Site Plan Name: )-..CA-V--C,_C.y©0C1A Pcu(-r— U ) f 01 Block No. (D Project Name: LLG DETAILED DESCRIPTION OF WORK: ►'�F' w c �l S�- �y C_H'C 1 .51` (�C`al �� R3fy_11 14 A. 1 New Electrical Meter V Second Electrical Meter CONSTRUCTION INFORMATION: Additional work to be performed under this permit- check all th t apply: _Mechanical Gas Tank _Gas Pipinghutters Win ows/Doors _ Pond Electric L� Plumbing _Sprinklers _Generator Roof Pitch Total Sq. Ft of Construction: 2 Sq. Ft. of First Floor. 1 `4 " C Cost of Construction: $ ! i ,� 30 Utilities: _Sewer Septic Building Height:l 510-1� OWNER/LESSEE: CONTRACTOR: Name VIJ 7,13 )-'L LLG Dame: vl )�O U 1 Address3 C7q 1 Go-- rEin S L- (, D6 51?� Compar 1 1-Z L1 C__' City: State GA Address:3 0a) C-,ni _E?, L[Qk:C_ 51r- 200 City: State:GA Zip Code: 3 oc� j ) ' Fax: "Clt Phone No. Q-7 LP D Zip Code: 3 O Dr] I Fax: WY2� E-Mail: Sea- -r,'D 5e Phone No 2 Fill in fee simple Title Holder on next page (if different E-Mail Ne0. cCa State or County License C_C7r✓1 S 11 Lt from the Owner listed above) 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. rL J SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: Wlhem&Kum Address: Z1on l3rookslde-Ave City: Ambler State: PA Zip: 19002 Phone (915) MR -grim Name: Address:.. City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: _Not Applicable Name:. Name:. Address: Address: City: Zip: Phone,:, City: Zip: Phone: OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated. certify that no work or installation has commenced prionto the issuance of a permit. St. Lucie County, makes no, representation. that is granting a permit will authori e-Ah e- permit holder to build the subject structure which is in conflict with ariy 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 requestedpermit, I do hereby agree that 1 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 Countv and posted on the lobsite before the first inspection. If you intend to obtain financing, consult with lender or an attorney before commencing work or Signatur weer/. essee/Contractor as Agent for Owner ST ORIDA COON OF Brt�%lairf Sw n to (or affirmed) and subscribed before me of y- al Presence or Online Notarization this d y of1�1C?1, e,�ya►h P/ , 2020 by Name of person makin atement. Personally Known OR Produced Identification Type of Identification Produced, (Signature of r Notice or Commencement. of Ggfitractor/License Holder S'rAT —TF FLORIDA COUNTY OF Swo to (or affirmed) and subscribed before me of this�Ph Ical Presence or Online Notarization y of A2020 by YYla eQ,� 1-b Name of person ma4k st tement own Personally KnOR Produced Identification Type of Identification Produced (Signature of Notary Public- State of Florida"r„�_ Nolry Pik 9" of flaw Commission No.. C fJlilaMi) Commission No. E�Convnium Hri 029ato REVIEWS FRONT ZONING SUPERVISOR PLANS VEGET" COUNTER REVIEW REVIEW REVIEW REVIEW DATE COMPLETED PuWie ssue�,, 1 my DeFiib 02itoto WnRTLE I MANGROVE REVIEW REVIEW