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HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: j � (� f I �t', i t?v i Planning and Development Services Building Permit Application Building and Code Regulation Division 2300Virginia Avenue, Fort Pierce FL34982 CommercialResidential V/ Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: — — — a PROPOSED IMPROVEMENT LOCATION; �- t�Ge��P� Address: d C t Property Tax lD #: i' ?j p2 �'b' Q (� (� G �J Q Site Plan Name: Lot No.. Project Name: Block No. DETAILED DESCRIPTION OF WORK: New Electrical Meter Second Electrical Meter IL CONSTRUCTION INFORMATION: 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: $ �� 1 Utilities; _ Sewer — Septic Building Height: OWNER/LESSEE: f tilvTRnrrnD. Company. `J City: t� State: Address L- � (C��� 'Zip Code: _ r Fax: -- s C% `S City:© Stater Phone No._%% Zip Code: E-Mail: Phone No T-7�Z 45Fax: 3- 4�� ��— Fill in fee simple Title Holder on next page { if different E-Mail 5��� (111-�5 from the Owner listed above) State or County License_ 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. `4 l-ttvlciv 1 xl` LfJI STR CTIO(q LIEWLAW INFORMATION: DESIGNER/ENGINEER: _ Not Applicable Name: MORTGAGE COMPANY: Not Applicable Address: Name: City: Address: Zip, State: Phone City: State: FEE SIMPLE TZip: Phone:TITLE HOLDER: ___._Nat Applicable BONDING COMPANY: Name: ,Not Applicable Address: Name: City. Address: Zip: Phone: City: 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 Coun#y 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. .� Inconsideration of the granting of this requested yagree in accordance with the approved plans, the Florida Bu !ding C des and St. Luce C utnity Amendmein all nts perform the work 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 fRMTe to Record a Notice of Commencement may resut in paying twice for improvementsour ape y. A Notice of Commencement m ,t be r ord d in the public records of St. Lucie Co inty grid p 5t on tF jobsite before the first inspectic h. �f You inters to obtain financing, consult with led Q an a ne bef re commencer work or record'h Notice " f Commencement. Signature of Ou nerd` Lessee/Con s , Agent for Owner Signatute �f Contractor/License H Ider STATE OF 1` ORI i i COUNTY OIL COU TOj� FF ORIt,�4� (� Sworn to for afftrme(� and subscribed before me of Sworn to ( r affirmed) and subscribed before me of Ph 11 resen a or Online Notarization this day of 202f by Ph cat Peese r Online Notarization C-111s day of 2020 by Name of person making statement. Name of person making statement. Personalty Known ___4,1_ OR Produced Ide tic tion I Type of Identification Personally Known V OR Produc d Id ratification (',Prod ced Type of Identification Prod d K, 1 t f l 'gna ure o Nota u f o � ( ignature f of P Notary Public Ricc State of Florida e�Ubh Commission No. , . Karl M Riccapgpi, „ commissi 'Fa r:b Expires OSi28/2024 967938 Commission No, zQ Nota abrii 11 K My Commission GG 967938 OFwaExpires 05/28/2024 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE M COUNTER REVIEW REVIEW REVIEW MANGROVE DATE REVIEW REVIEW REVIEW RECEIVED 1 155128 1 G 1.U79_1. jpg (JpEG image, 512 x 384 pixels) 1 of Z https:/twww.pasi,c.Org(I'Tiago-Sketches/Sketcfa/155/1._ 5/31/21, 2056 -P� 0 — co 4 co to w -Dr� A o rn ry co � 4 o r) 10, iv � G) rn (} CD Mrnw� m rn C/) n �x G)cn ��U© p -1 03 C m I-na >toWX >� ��0a o X > 0 p N 03� t�T -` CA)m W .0 X X cp M m � to ? M rn O a Z z z> X XOD --t In ©O mp-`i av vA- -n m o �- X N U rn on o a Co >A w -! as x y O C) OD m -m-i X z ILO cn A -0 -� p -p t p mzF O N b A C X-- X a rm- m mCl)rm0 0 G) z -a .. 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