The URL can be used to link to this page

Home My WebLink AboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �O © Q,Q O Date:� A • • "k Permit Number: lD y RECEIVED M;�;'A;Rrp'.* JUN 1 8 2021 �0 . Building Permit Application St.Lucie County Planning and Development Services Permitting 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: PROPOSED IMPROVEMENT LOCATION: Address: Rb1 S. Mean '-Dr�A& *Solo Uod- -�iuv, R, 3494q Property Tax ID#: ZLbtr !i?l2` ©OOU r Cam-0" Lot No. Site Plan Name: Cy-�Il fs G cy-n`i X Block No. Project Name: CyNaywlac mi)c DETAILED DESCRIPTION OF WORK: 1nsyc,.1\ l TrnQf)C.+ �'(AJnQa C- kiff -t)c(�)r New Electrical Meter Second Electrical Meter 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:$ U2 3 Utilities: _Sewer _Septic Building Height: OWNERAESSEE: CONTRACTOR: Name ('kA,G LA C rt_'l Name: T© 1i Address: R6) Sc�u�l. CFI tN Df l�r[= d 5 Company: [�vCrlSpy7 i(�" City: f%t6 P State: -L- Address: i,\n3$ lbnt� 9,00A Zip Code: Fax: City: \ACSL'k 1 -16ec" State: R. Phone No. !C'B G Zip Code: 33LAC A Fax: E-Mail: QN I a r•r6);K CkArt-F1^ 06 Phone No Fill in fee simple Title Holder on next page(if different E-Mail?Eyml 5 63—)Le.Ut r6on bui I+.Co1y) from the Owner listed above) State or County License C(,C hi 7-3 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. SUPPLEMENTAL CONSTRUCTION LIEN.LAW INFORMATION; DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: _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 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 FloridaBuilding 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 attorney before commencing work or recording our Notice of Commencement. Signature of Owner/Lessee/Contractor as Agent for Owner Signature of on or/Li rise Holder STATE OF FLORIDA STATE O FLORIDA COUNTY OF VoXwk kaCAN COUNTY OF Sworn to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of ✓ Physical Presence or Online Notarization Z Physical Presence or Online Notarization this A day of MjRk, ,2020 by this h day of JVni— 2020 by y T O NNN N N Name of person making statement. Name of person making statement. N=`° Nzo =a / o . Personally Known OR Produced Identific i Personally Known ✓ OR Produced Identification 0 x Type of Identification y Type of Identification N g Produced 4 o a Produced W E.y _ (� EE vi o O - U E O LL co ~ U E o U 0 �(Siig.nature.of No ry Public St to�AfFi a) 0 v J( gna�tu�eofot ry Publi St a of FI ri a) J0� d0� fission No. (Seal) Y a� u Co mission No. (Seal) �6 0 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev.