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HomeMy WebLinkAboutBuilding Permit ApplicationS 1� ---k All APPLICABLE INFO MUST BE COMPL rF'J FOR APPLICATION TO BE ACCEPTED Date: Permit Number: Si`ro +�I (� Cl(y(`,: RECENE Mi C O � B�{4YY1 � 7y MAY 19 2021 Building Permit Application Planningand Development Services Permitting Department p St. Lucie Count Building and Code Regulation Division Commercial Residential 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: RiPOS© t1r Nit" OCAT{tN r ;r r�,p x Y �� fffi,, Address: .13 O &-Srs3 1 S 4 Property Tax ID #: Lot No. n Site Plan Name: )OP � ,(` y� !/a P(� i e S IJA 4 Cil f P Block No. Project Name: r•,.^.o _(foa : P Y,.'� 'T)A�ECRP1101WwPa4Y.YkMa'9,4.a,Y^?/f,. tea . ....:. .. ..... �,,. .�.ta:i..''.`',."°"•� „....;...). '; ,,, r„.sm'�ifEc�o.� air, .. v t, _s.s:..,., .,_' .yn�.n. �Y,�a.: 13K arm asen� r w o 5 IR1�� AA SIru��u�lr �' FL2 � /� Slu�S y'^ +�r !;� SI cp W yr1 .tr_ New Electrical Meter Second Electrical Meter €' b [}'�. v.. ,f 7w. Y'F fii �„ S�✓ kfii `+ i>Y#�` ,ice Y��.,2 y_a5� .{' '^t '�$ a•� i "'�a� 3� �w."kax. � E ��� ".. _ � �jT�� •44•�' 3. �"X�t "� +'w�p' � y7jy 4 � e".�d 'S Y'B, r, it� . h .0 .. ' . .g/o-- ,.-® � �-„ a-ur >�S•�,� �,%.'�}s�Yt`�-srw�- ��>{�$;�fiX,RYa'��iu� or. PxEF: L <. F> >. .. � ^'Y" � �i k� , . "�R'� k�R'!•.v .� ��A �H� �ri?�N.w.• % Additional work to be performed under this permit heck all that apply: Mechanical _Gas Tank Gas Pipi g _Shutters _Windows/Doors _Pond _ Electric _ Plumbing Sprink rs _ ator _Roof Pitch Total Sq. Ft of Construction:Sq. Ft. of First Floor: Cost of Construction: $ dcr� �� Utilities: _Sewer _Septic Building Height: 'SA. zt t q4 "Y�'V,YFki,.�,.•i-.,ta{ •a 'Ys �7„ rae',2`� `S u� 3- ,ak` 'tahf '. ,f� u„ w ,ra S a; r, ✓° r 3 C S>N' Name , ( f-v P a w Y&.i ^pt, 3e�Rt.'r 3c• 'N' ,8g S �i•.#h/ .P Sa x '3 `py r% 9: fCQN'RAC 'OR 0ti•ri t„ E S-Ya,�YM, <„f4. ., # 9°-%5?�A„Nn�d'^4<�.'`wea fw3�°- $ �b�.;.?,.�✓ ..4.I�a✓:"'i Name: '-Df►to) E L, is . 17az c- Address: �'(�dl+� S� Company: .I�!%2f1C)�- CC}Y1S� . LL _ City: V\aN State: _ Address: ( L SLNI W City: o- -51. Ls.,— f-4--:` —State:—EL Zip Code: Fax: Phone No. 1 Zip Code: J�� S3 Fax: 41 , A E-Mail: r Phone No 7% 2 S30 2 Cow E-Mail de-1 a ` CA 1sDu K yie-.t Fill in fee simple Title Holder on next page ( if different State or County License from the Owner listed above) CGC 02_t 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. ' L.f�w�Mr.��� 3 �3 �� f�1..��\yf �'������•���1�� i8 ��I� , �,Y` �=y+ �, -.- ; � � Yfi�� �`��"A«"9Nn i��.id a�r' lGs V. T u.. e� � A LNi .'. [ , �, ,.�Y �`^'e4 .,k b;: � ,S. : ,b..i ,,.:, � .n,^'. � �"&` � 3 �'' r`Y �d, �";�.., .� 1 �u e�.�. ,.9 .. •�a+ , i-0 . `� 1.;£e DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Ph a Zip: Ph ne FEE SIMPLE TITLE H LD R: of Applicable BONDING COMP Y: 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 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 leader or an attorney before commencing work or recording your Notice of Commencement. I Signature of(ont)actor/License Holder Signatur f ner/ Lessee/Contractor as Agent for Owner STATE OF FLORIDA A k4ulf' STATE OF RIDA �''��'C'/� COUNTY OF COUNTY OF Swop to (or affirmed) and subscribed before me of Swovf1to (or affirmed) and subscribed before me of Physical Presen a or Online Notarization this day of 202d�by P sical Prese ce or Online Notarization this day of 20 by Name of person making statement. Name of person making statement. x Personally Known OR Produced Identification Personally Known OR Produced Identification!' Type of Identification Produced PA. DAIVV& GLL Type of Identif)eZIn uG Pro e gY JENNIFER J. BULTEN PUBMG V "A- NIFER J. BULTEN Wy (*nature of N ary Public- St GTE OF FLORIDA (Signature of otary Pu lic- rRQTt kRY PUBLIC Commission No. G35D7�m#GG350713 0WIAS'ceal) STATE OF FLORIDA C G350713 C9xires 7/1/2023 Commission N Expires 7/112023 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED �. Rev. 5/6/20