HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 7
Date: 1. Z
PermitNumber:D,IV5- O —12Z
RECEME5
Building Permit Applicat on MAY 14 2021
Planning and Development Services ST• Lucie County, Permitting
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT TYPE:
3�csr f�,�v.: "-_« m, c:,... ��, r a:_ �.a:+.r � y�(� -� a+�iy� s.�•�F-r'�`� � 5� �� +S ���.�7r.,� t�f. �t�C�' �; ��$ �� �,:'tla�+yy�; �Sfa.5� f'� �� L�.r�.r-.'�"�x:�'-.�s��� F
Address: L Qhe-.
Property Tax lD #: 2n, �) ai g C A— O0 i3 " 000 S Lot No.1723_
Site Plan Name: 'S'z,)N S o r Block No.
Project Name: ,) c�� �. S o Y1
tj,^w,
,'
.. -ate",
7
��_�-,.
Additional work to be performed under this permit- check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors.
_ Electric _ Plumbing _ Sprinklers _ Generator _ Roof ... ,Pitch
Total Sq. Ft of Construction: 3,3 b . Sq. Ft. of First Floor: 3
Cost of Construction: $ 'A 1 ,'R ct — Utilities: —Sewer —Septic Building Height:
m-ci r7.u,�µ.�$ �6 € >cry �: '`^�,y-�}" F 7j' �e �.�-s �'yq- r,
.t' M.s
Name 4Ln� VlSon Name:
Address: 1 Q o L-ew`e Company_:
City: Irr.A P, ere, State:Ir
, Address:
Zip Code: Fax: City: State:
Phone No. ri a.3s�- 1Z�3 Zip Code'-. Fax:
E-Mail:_ -t,. Cc!, St CLIk xa C. ovv, Phone No
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 HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
/
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 YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE. THE MRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COiMMENCEMENT:'
Signature of Own r/ Lessee/Contractor as Agent i1orlOwner Signature of Contractor/License Holder
STATE OF FLORIDA I STATE OF FLORIDA
COUNTY OF ST tol c e, COUNTY OF
The forgoing instrument was acknowledged before me
this day of Mgg.44_______, 20 L II by
Name of perlor making statement.
Personally Known V OR Produced Id
Type of Identification
Produced
(Signature of Nota
aA
I
;•�,:c'Y1, MAURE�N I�SANITI
Commission No. j 5� i
�. otary Publ c - a e of Florida
Commission M GG 104337
REVIEWS R O I-S= SO
COUNTER REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
The forgoing instrument was acknowledged before me
this day of , 20_ by
Name of person making statement.
Ily Known - OR Produced Identification
Identification .. , f
KAREN S. NIELSEN
State of Florida -Notary Public
June 12
PLANS �REVIEW
ATION SEATURTLE MANGROVE
REVIEW° REVIEW REVIEW