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HomeMy WebLinkAboutBUILDING PERMIT APPLICATION All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED II I Date: Permit Number: LU RECEIVED R- 1 ;14011 '\W-0 c` Building Permit A7Residen'Lidl ation JUL ®-� LC Planning and Development Services ST. Lucie County, Permitting Building and Code Regulation Division Commercial 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 PERMIT APPLICATION FOR: PROPOSEQ IMPR bVt 41EN' LCICATiQN Address: �-3�3 ��, (� �J w Ll � � �- e FC e3 r-f � Property Tax ID#: ( � 3 , 3 d-' oco Lot No. Site Plan Name: L U Block No. Project Name: Dn DETAILED DES ON OF WORK : t,j,:J CcI/� IezC-C New Electrical Meter Second Electrical Meter (Affidavit required) CONSTRUCTION INFORMATION Additional work to be performed under this permit-check all that apply: _Mechanical _Gas Tank:. 66s.Piping _Shutters _Windows/Doors _Pond _Electric _Plumbing' _Sprinklers _Generator _Roof Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction: $ � .0 d r i Y Utilities: —Sewer _Septic Building Height: OWNER/LESSEE :;, CONTRACTOR Name fe 5 u �n1t/�5 7 °0 5 MVP Name- N101 N5Vo404'Ic Address: a.36 3 /X- llS 1 / t,J � # 7 Company: City: F-4, Pcerce Stater Address: 5 '40 V1, 1, R Zip Code: 34 9`t 6 Fax: P City: y �2rr� , F State: Phone No. 7 //cDd -"[ -7 -7 Zip Code: ���s( Fax: �?Z`Z"(-U E-Mail: a V ` J05 (@ Ck- 5 M Q(- b M.CU Phone No- 72 9 06b Fill in fee simple Title Holder on next page (if different E-Mail from the Owner listed above) 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. �a� C�N1FYGtC 7/Sa d-` D i �ss��� cy���vnitva� ah� f 1 r'" Li i SUDD NTAL CONSTRUCTION LIEN LAW INFORMATIt71V a DESIGNER ENGINEER: Not Applicable MORTGAGE COMPANY: _Not Applicable Name: Name: Address: - Address: City: State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLEXOLDER: _Not Applicable BONDING COMPANY: _Not Applicable Name:? i� S I C4u /e5 Gt-d LL-C Name: Address: © Address: City: f Pierce I F(_ City- Zip: !Q Phone: `7a- 6 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 yo property. A Notice of Commencement must be recorded in the public records of St. Lucie County and pos don the jobsite before the first inspection. If you intend to obtain financing, consult with lender or an att ne efore commencing work or recording our Notice of Commencement. Signature of C�Nner/Less tractor as Agent for Owner STATE OF FLORIDA COUNTY OF � Sworn to(or affir ar�d subscribed before me of �Physical Presence or Online Notarization this day of J 20� by \\`\11��������.sq, sOONEY84 Name of person making tatement. Personally Known OR Produced Identification : .• % Type of Identification Produced (Signature of Notary Pu Ii -St to of Florida �'fh/J�Ap�NRl11l�4i��'G Commission No. (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev 720/21