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HomeMy WebLinkAboutBuilding Permit Application 447 All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: •V 01ro WCM o o Building Permit Application Planning and Development Services Building and Code Regulation Division Commercial X Residential 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772)462-1578 PERMIT APPLICATION FOR: PRtPOSE► IIVI ROUEME ' L©CAT C}N: Address: quo s t nAiouna�l -Po4 s-r awe F Property Tax ID#: - j (�o� - 'Ono- Lot No. Site Plan Name: 5 d'll'Y)E4 �icstiSh+ne �� Block No. Project Name: VUtS �Le DETAILED DESCRIPTIQN aF W©RK: ` kisTA-i 1 kernt oc�b le. s1 1 sh g.bC- New Electrical Meter Second Electrical Meter C�ON5TRUC1"i'C�N INF�RMA 1©N; 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: Cost of Construction: $ Utilities: —Sewer _Septic Building Height: O�W_ ER//TLE�S'5���.: C©NTRACTOR�: Namel sia�ls�.i►°lZ LCc�I Nai`Te: � ..�L' .; / Iw�' y1� 1��UcIC:i'1 ,'Fri: ',! e,i "=`" •i:.% i'I Address. Q9. 1.C' '. `sl �I� Com,pariy I\\IY(1r"c�' City: �' Y1`�C�1 `'JC f`/� $.l` State: Addlress 114 'i � �ll) � Zip Code: 3 U q;5 J Fax: City: 13Q�1��' ~b j�� State: Phone No. Zip Code: Z4gq rl Fax: E-Mail: L;&qlkc n ("kht'ic-10 a abhl Phone No s(, l- O?W- Fill in fee simple Title Holder on next page (if different E-Mail _ n Loom from the Owner listed above) State or ounty Licensee �7C ()(1) _2 �`� 95' 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. SUPP EMEN AL CQN'STRU 0 LIEN LAW INFfJRMAT©N: DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _ Vf "Applicable Name: PA-0 ed Name: Addres : SW i S Address: City: State: City: Stater Zip: ` Phone = Zip: Phone: FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable Name: l° 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 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 recordingo r Notice'of Commencement. Signatur ,of 0 er/L e /Contractor as Agent for Owner LL Signatur�p ontractor/License Holder STATE OF FLORID j STATE OF FLORIDA COUNTY OF r(�'l yi COUNTY OFMt?041 N S orn to(or affirmed) and subscribed before me of S orn to(or affirmed)and subscribed before me of _Physical Presence or Online Notarization Physical Presence or Online Notarization this `-Wday of M A-= 2026 by this_Q day of fYJ C 2024 by K 0 A-rq 4J n�4 eh-'�' Name of person making s atement. Name of person making statement. Personally Known OR Produced Identification Personally Known "A� —OR Produced Identification Type of IdentificatL'on Type of—Identification Produced_V I,)r �) nSC Produced (Signature of Nota t�tef (Signature-of No Sbli + Wridfafe of Florid& ;22"J" o ary u is ate of Florida Commission#GG 949635 Ccmmission#GG 949635 %; M�� My Commiss�'@ pares Commission No. tiny Com op Expires Commission No. h�, a� anuary 2f 4 NNENNUM Jan.iar1 22, 2024 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 5/6/20