Loading...
HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: pls9%kl � Y -- eN z gm W • R ". Application Building Permit 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 TYPE' lzro_ KO�A_ WN Address: Property Tax ID #: — — Lot No. Site Plan Name: -Block No. .. / Project Name: MUK ak'+�s""�.}3--.^` O"-? r ism , . a�, .8� ?� �'3 f .'v'x'i;- . r -�• ` Y 's AA Additional work to be performed under this permit— check all that apply: Mechanical Gas Tank Gas Piping Shutters V Windows/Doors _ _ _ %eoE'Iectric ✓Plumbing _ Sprinklers _ Generator V Roof _��� Pitch Total Sq. Ft of Construction: �2J Sq. Ft. of First Floor: ��Zg Cost of Construction: $ `,� , _1 W 00 Utilities: —Sewer —Septic Building Height: MIN IN ra Nam Name: ry Address: Company:3J�'O_t�¢h City:. State: Address. a©. l��iL ZS,�� Zip Cod --J Fax: City: H6� Spv..33�d_ State: Phone No. —'� Zip Code: - a Fax: E-Mail: Phone No1'7�1ro� Fill in fee simple Title older I next 9age ( if different E-Mai' from the Owner listed above) State or County License G130 (35T)7 3 d 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. zJ DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable Name: Name: Address: Address: State: City: State: City: Zip: Phone: Zip: Phone FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: 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 Home Owners Associationrules,or and nts hat restrict or such which eviewylaws swhich is in tructure. Pleasle consult th any may apply. your deed or any restrictions hpypoiurr Hle orne Owners Association 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, to another non-residential use accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROYEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE F!RST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LEND R OR AN ATTORNEY BEFORE RECOkui 'G YID, IR NOTICE OF COMMENCEMENT.)' Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FL O I A STATE OF FLO I A �� COUNTY OF Cnn COUNTY OF ^ The forgoing instrument was acknowledged `before me The forgoing instrument was acknowledged before me . day of 20,�Jl by , this _ day of , 20sL� by this —A— Name of person making statement. Name of person making statement. Personally Known OR Produced Identification Personally Known___ OR Produced Identification Type of Identification Type of Identification Produced Produced (Sig ure of Notary Public nature of Notary Public- a�Oipfal9rida )LORAR. MOORHOUSE ........... 'y LORA R. MOORHOUSE _ MY COMMISSION # HH 0008 7 Commission No. (IOXAPMMISSION#HH000 7Co mission No. e`: (S f)IRES:June7,2024 ter. o: EXPIRES: June 7, 2024 'faF F ;°p' Bonded TAru Notary Public Unde e Bonded ThN Notary Public Unde REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE REVIEW MANGROVE REVIEW COUNTER REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.