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Home My WebLink AboutBuilding Permit ApplicationAll APPLICABLE INFO -MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED r, Date: Permit Number: j. Building. Permit Application Phnning wind DevelopmentServices Building and Code RegUlatfon Divlsian Commerdial Residential Zia© Vlrginla Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: b. PROPOSED IMPROVEMENT LOCATION. - Address: /D 9 PropertyTax ID #: s / D a (D 3 - aonn - 2 Lot No. 32 36 4I FROMNW COR OF LOT 13 MX I HARM S/D RUN SELY MIIYRlW FEC RR Site Plan Name: 204.7FTTOSLiOFMAIN STTHE 35534FTFORFOB,THCONTE70FT,THS I76%%lock No. TH W 70 FT. THN 176MFT TOPOB (OR 1184.365; 2211.2644) Project Name: DETAILEDDESCRIPTICYN OF R' MA, - "I", W/d • • Electrical Meter r .ONSTRUCTION INFORMATION: i Additional work to be performed under this permit— check all that apply. Mechanical Gas Tank _Gas Piping _Shutters Electric _Plumbing _,Sprinklers Generator —windows/.Doors _ Porid Roof Pitch. Total-Sq. Ft of Construction_ 917/4 Sq. Ft of FirstTloor: Cost of Construction: $ DaO. f' utiiiiies _Sewer- Septic Building Height: OWNERjIESSEE. - CONTRAC:TQR: Name Name: Addre Company:. City: P, dj!6 -state, Address: 0�68� - 9a /.[11 •+ Zip Code:. 3y�� Fax: City:, So.tctlt� State: Phone No. 77� Zip Code:9�. Fax: E Mail: 4 Fitt in fee gimple Ti a Holder on nAt page I if different Phone No.(,2 JW'�S� 7 E-mail _,+ b - o ,n s Oy"'t from the Owner listed above) State or County License lrvame of constmevan ➢s 25uu or more, a.REGDRoED niouce or commencemenr,s Yew -- If value of HAVC is'$7,500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: Not Applicable Name: p.�; Name: Addr s•.��i6�j Address: City: .r— State: -AX zip: - 9'14;Z Phonegy/ ?Q/ - � 98© City State: Zip: Phone: FEE SIMPLE TITLE HOLDER! Not Applicable 11ON13ING COMPANY., X Not Applicable Name: Name: Address: Address: City: i Zip Phone: : Zip: ZPhone: ,rvu,vr-,v C.UI@ t KACrOR 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 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, wails, 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 osted on the jobsite before the first inspection. if you intend to obtain financing, consult ,'th lender orNAHktornev hpfnrn rnmm0nrinn urnri? nr rnnnr,din,r vn\,r 1►I,\f:,.. \ —�F r•,..,....,,r,,.,,..a,a.as - - ---- —---..... �.. v... .. v. •a V\ . Va.V. M.., - V. \�V �\V VVV\\\\.LV\. VY.\\.VI\4. Signature ofOwner/ Lesse Contractor a r Owner Signature o ontra nse er STATE OF COUNTY OF FLORIDA S L t P STATE OF FL ORIDA 1-� Luu , COUNTY OF e 2 S�vo�n to (or affirmed) and subscribed before me of ical Presence 5�ro�rn to (or affirmed) and subscribed before me of or Online Notarization thisa day of 20-LI by }� Ph sicaI Presence or Online Notarization this day of�Q 2Qat by Name of perso akin ement. Name of pers'oh makine4talement. Personally Known_OOR Produced identification Personalty Known e<D OR Produced IdentificationType of Identification Type of identification Produced Produced No 6 {signature of otary b i e n HH o39626 q (Signature of Nota Publ" - F emn Woodard ry ff cc� Expires 09107/202a Commission No.�ri � � My Commmsm HH 039826 ExO1rd �12021 Commission No REVIEWS FRONT ZONING SUPERVISOR PLANS . VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REYJEVOr REVIEW REVIEW REVIEW DATE RECEIVED DATE W COMPLETED Re—V.