HomeMy WebLinkAboutBuilding permit applicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: (,-- )-) - % 1
Permit Number:
` L A Building Permit Application
Planning and Development Services
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: f1 i ,j I, -
PROPOSED IMPROVEMENT LOCATION: l
Address: 20-21L\11CY-1 TD( E} PICrCc-:7- R _34i49
Property Tax ID #: `L125 • LGw - bf 5 - � -b 1 i1 Lot No.
Site Plan Name: C� I� rC�Dlr7 V_- Qt t�- scin �s t' nns - t ) Block No.
Project Name:
DETAILED DESCRIPTION OF WORK: _.
IBC, C)-25
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: $ ': QW . (Do Utilities: —Sewer _ Septic Building Height:
OWNER/LESSEE
--- --- - ---
Name 1 Y1CY�`C j�.111 G
Address: 2o2l (A- nX 1�_>C
City: F-iC 1 Cry State: Ej
Zip Code: ,;4QLA Fax:
Phone No. q4 • __n2 • 1.551
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR:
Name: Cj c
Company: 17 �1 C-iQrG1CJl� C1G�>(S
Address: 4-S__, I,,w CnAr-f 126Sn i�>r
City: Port S+ Lk_ L 1 (f, State: f�-" 1
Zip Code: 7J-}4�12 Lc, Fax:'T17-41ob•- 1y
Phone No -T12 `}ioU •Jilo3(-.!)
E-MailiS (S
State or County License 315 1
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.
DESIGNER/ENGINEER: _ Not Applicable
Name:_
Address:
City:
Zip:
Phone
State:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY
Name:
Address:
City:
Zip: Phone:
Not Applicable
State:
BONDING COMPANY: Not Applicable
Name:_
Address:
City:
Zip: Phone:
Vvvlvcml %-VIM 1 KAL I UK ArF1UVl I : 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 lender or an attorney before commencing work or recording our Notice of Commencement.
Signature o Owner/ Lessee/Contra or as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORID I STATE OF FLORID_0
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COUNTY OF ._Y1, r } L-ii C e. COUNTY OF %�
G' rl+ LV C_)
Sn to (or affirmed) and subscribed before me of
7Ph sical Presence or Online Notarization
this day of . 2024 by
C�n.1ie— (:.zrrCce
Name of person making statement.
Personally Known V OR Produced Identification
Type of Identification
Produced
re of Notary Public/State of
Commission No. 111formcid
REVIEWS FRONT ZONING
COUNTER REVIEW
DATE
RECEIVED
DATE
COMPLETED
Swoyri to (or affirmed) and subscribed before me of
✓ Ph sical Preset' or Online Notarization
this day of ��.oe 2024 by
Name of person making statement.
Personally Known ✓ OR Produced Identification
Type of Identification
Produced
ignature of Notary Public- Strate of Florida )
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