HomeMy WebLinkAboutBUILDING PERMIT INFORMATIONAH APPUCABLE �NFO MUST BE COMPLETED FOR APPUCAT0H TO BE ACCEPTED
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Permit dumber:
B�o�c�9o�� Pcrmit AP.P Hcatpan
Planning and Development Services
Building and Code 1?egulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Commercial Residential k
PERMIT APPUCATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: li G1l,Tq L oM q
Property Tax ID #: 341Y- 150 j.-- 110 1 --- 0 0 0-9
Site Plan Name: A/V,)ALS0eJ
Project Name-.. 4r1Q5" 0 ri
DETAILED DESCRIPTION OF WORK:
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15.,,rje, W's I if ta S
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New Electrical Meter Second Electrical Meter(Affidavit required)
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit -check all that apply:
Mechanical
)( Electric
Gas lank
Plumbing
Total Sq. Ft of Construction.ap
Cost of Construction: $ �O � `� • ?�
OWNER/LESSEE:
Name
Address:
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_Gas Piping
1 Sprinklers
W I ri r�,J
Shutters
Generaor
Windows/Doors
Rood
Block No.
0opk-ex . so I
Sq. Ft. of First Floor:
Utilities: � Sewer � Septic Building Height:
City: SLu4 Ire, State: rL
dip Code: 3Y SS 1*;., Fax:
Phone No. 71Z 1�53
E-Mail:
NH in fee sump�e Title HoWer on next page ( if different
from the Owner listed above�
CONTRACTOR:
Pond
Pitch
Name:
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PJ-?JJ4C 2Ar L
Company:
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Address:
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City:
GvC
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Zip Code.
315 � `!
Fax: ? 11-— � �l� - 3 ��Z
Phone No
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E-Mail
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State or County License /5C 1 3Uub03i.
If
value
of
construction as
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 COMPANY0 k Not Applicable
Name: Name:
Address: Address:
City: _ State: City: State:
Zip: Phone Zip: Phone:
FEE S�MPLE TffLE HOLDERa Not Applicable to1 hIC� ��Mpc k Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone. -
Zip: Phone:
vvvov� iturid �"UKIJ u KAL u UK AV Pp UVOT: Application is hereby made to obtain a permit to do the work and installation as 'indicated.
certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie Count 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 orprohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may aply.
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
VVARNING TO (LIMNER: Your failure to Record a Notice of Commencement may resuft in paying Nuice 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 your Notice of Commencement,
Signature oOwner/ Lessee/Contractor as Agent for owner
S7ATE OF FLORMA
COUHTV OF S r L,ut(F_
Sworn to for affirmed] and subscribed before me of
this 2,� day of 3UrJio.-' , 20 14 by
Name of person making statement.
Personally Known X DR Produced Identification
Type of Identification Produced
(Signature of Notary Public State of Florida
ct
Y. Physical Presence or Online Notarization
Commission o �PLP (Sea 1)�� ���1' �• � = �-- State f Florida
ti Notary Puri
My Comm. 1 Dec 10 2021
r
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION
COUNTER REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev 5/20,72-1
�-- -
SEA TURTLE
REVIEW
MANGROVE
REVIEW