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HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION. TO BE ACCEPTED M `4 Date: 01/20/2021 Permit Numhen. 10�', 0 I LuelE0ll R-1 O R 'I 'D A' AI V ,/.. W L6 Building Permit Application Planning and Development Services Building ond Code Regulation Division Commercial Residential 2300 Virginia Avenue, Fort Pierce FL 34982. Phone: (772) 462-1553 Fax. (772) 462-1578 PERMIT APPLICATION FOR: VZ • o ® � Q �■ ; ©...> - �, :�, .}.� ;�7., �r .�,"a� ?m 8w1eY f'�� i�'"'.�a k,": s_.-. r _._-ti s�.., t.. Address: 5507 BIRCH DR FORT PIERCE. El 3:4989 Property Tax ID #: 3402-609-0169-000-4 Lot No.31 Site Plan Name: Block No. 56 Project Name: New Electrical Meter N/A Second Electrical Meter N/A 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: 500 Sq. Ft. of First Floor: Cost of Construction: $ 3,800.00 Utilities: —Sewer _ Septic Building Height- N/A Name JOSE E DEL VALLE Address:5507 BIRCH DR City: FORT PIERCE state: FL Zip Code: 34982 Fax: Phone No. (772) E-Mail: jdtropica[123@gmaii.com Fill in fee simple Title Holder on next page (if different from the Owner listed above) Name: Company: Address: City: State: Zip Code: Fax: Phone No E-Mail State or County License If umhop of rnnstruetinn is 2500 or more. a RECORDED.Notice of Commencement is required. If value of HAVC is $7,506 or more, a RECORDED Notice of Commencement is required. .;R DESIGNERANGINEER: _ Not Applicable MORTGAGE COMPANY:' _ Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLEHOLDER: ! 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 holderto.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 \Kith 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'fo obtain.financing, consult tAii+h InnAcr nr --.Ln n++nrncv hofewo rnrnmanrina work or rPrnrdine vour Notice of Commencement. ignature Own ssee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE FfLORI STATE OF FLORIDA COUNTY' OF .�..c �; COUNTY OF ' Sworn to (or affirmed) and subscribed before me of Sworn to (or affirmed) and subscribed before me of Physical Presen .e or Online Notarization _ Physical Presence or Online Notarization _ this I day of 2020 by this day of , 2020 by Namllerson making statement. Name of person making statement. Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identification Produ a qA— Produced (Sig re of Notary Public- SItte of Florida) (Signature of Notary Public- State of Florida ) Commission No. (Seal) \\NG Commission No. (Seal) REVIEWS FR PLANS VEGETATION SEA TURTLE MANGROVE COL44TER;1 ' t�EVi� �rNN EW REVIEW REVIEW REVIEW REVIEW DATE ','.,`Y•, ;' ' `�,' . RECEIVED DATE' COMPLETED Rev. b/b/2.0