HomeMy WebLinkAboutBuilding permit applicationAll APPLICA LEINFO
� ,M�uST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: C,Ic1, Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Commercial Residential
PERMIT APPLICATION FOR: f1Qu,) Sq- ,Pt mtYll��,j
PROPOSED IMPROVEMENT LOCATION: (-eo r 0...JP
address: /1 �.•� t�` 7i t`-� ��
Property Tax ID #: _J Q13 (oo 2..- JLot No.
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
(V_(;ti '�Wfir)A In.6 L-)Crr)1
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Block No.
s
Additional work to be performed under this permit -check all that apply:
_Mechanical _ Gas Tank —Gas Piping _ Shutters _ Windows/Doors _ Pond
Electric VPlumbing _ Sprinklers _ Generator — Roof Pitch
Total Sq. Ft of Construction: �5 (0U
Cost of Construction: $ 19r sao' , OD
OWNER/LESSEE:
Sq. Ft. of First Floor: _
Utilities: —Sewer \ Septic
Name W,'Mo f jjc1 c)
Address: '2Q&) C)OK DR,
City: 4-1l i G i n tVYi 1\S Ci n( State: T-1—
ZipCode:' I(r Lq4 Fax:
Phone No:3
E-Mail: P%1C vJl qS cion �3 fCt 1��( )Y�
Fill in fee simple Title Holder on next page( if different
from the Owner listed above)
Building Height:
CONTRACTOR:
Name: �E��1i X CySo i',.
Company: enu cil"'lus 11 " hic .
Address:
City: _ I Gt m l L p% State: FL
Zip Code: 3,30 f b Fax:
Phone No �3%
E-Mail AG Ul�li^Ius 'C 1C '�. C�dJS
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.
SUPPLEMENTAL CONSTRUCTIPN LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: V Not Applicable
Name: Name:
_
Address: Address:
City: State: City: State:
Zip: PhoneZip: Phone:
FEE SIMPLE TITLE HOLDER: �,Z'' Not Applicable
BONDING COMPANY: V 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 lender or an be
eycommencing work or recordin o Notice of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FL RIDA,�
COUNTY OF J) &
STATE OF FLOR 3A
COUNTY OF !)0W
Swor (or affirmed) and subscribed before me of
Swo o (or affirmed) and subscribed before me of
Physical Presence r Online Notarization,
this � day of >�� 2026 by
sical Presence or _ Online Notarization
this 't day of M4 by
MCC'-4U
Of;X
Name of person making s atement.
Name of person making statement.
Personally Known' OR Produced Identification
Personal) Known' 1�
Type of Identification
y OR Produced Identification
Type of Identification
Produ
Produced
;gnWre—of
(' re of Notary lic- S i orida
%� ) Dal)=
so`.� • fin,: HH 1
Notar Ublic- Sta f "da )
Omfia Galan
Commission No.i-IH ;.
• (�;�IlnlrilSSiOn
ii rl ?, �Cj ••.
r�r' pg .:,y;,;,3
Commission No.%iH 12 �*C �:•� • S '
.,'S." :X;
Aptil 28, 2025
jl { ' a'
OR •l 28, 2025
REVIEWS FRONT ZONING SUPERVISOR
COUNTER REVIEW REVIEW
PLANS
VEGETATION
SEA TURTLE
MANGROVE
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.