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Home My WebLink Aboutpermit applicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: to -22 • 2-1 Permit Number: ` Building Permit Application Planning and Development Services Building and Code Regulation Division Commercial Residential 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: kc)i(aCc G�Qrocv_ dcoV_ Address: �j�-�-1�.��,,S`` �� nnOn f Et Pi rCC✓ El 4CE Property Tax ID #: 1. DUI - l014 • Mq l •yW • I Lot No. � Site Plan Name: A�at=j p2 Iy_ uni k 12-&L - 153 Lc+ 13 d 5 1 U-15 F} CAP Block No. il V2 Project Name: Lb ) Lc New Electrical Meter Second Electrical Meter Additional work to be performed under this permit— check all that apply: _Mechanical Electric _Gas Tank Plumbing Total Sq. Ft of Construction: Cost of Construction: $ ) 3_1 j- "-�' Gas Piping _ Sprinklers Shutters Generator Windows/Doors Roof Sq. Ft. of First Floor: Utilities: —Sewer _ Septic Building Height: Name "i-Ohn 01rK't2 Address: 54('2 S�'1C1t'1Y-1C.n Or City: !F-A-- P i efc� State: 1a1 Zip Code: 34CAG1 Fax: Phone No. __n7 21io • iDg2.G E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) Pond Pitch Name: �._im %ee k.:71rQCe_ Company:�7 -1 17 C-1G1(oCip- CACX-'rs Address: 4�5 kvL,y F_rrl _—r► 6s C)r- City: pOr- - !S-�- LA--LCI -e— Stater Zip Code: _3 �i2 L, Fax:""rIZ Phone No `-1-12 - 4UG -71630 E-Mail 1 S eT> G- i rQ C State or County License .3 l 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. DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: Name: Address: Address: City: State: City: State: 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 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 wit ender or an attorney before commencing work or recording our Notice of Commencement. S'tre of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA o COUNTY OF 5�°,� rl't L,IJb C> STATE OF FLORIDA COUNTY OF Swor�°ito (or affirmed) and subscribed before me of Sworn to (or affirmed) and subscribed before me of " PhyPresence or Online Notarization Physical Presence or Online Notarization ✓sical this ' day of -1 202 f by this day of 2020 by Name of person making statement. Name of person making statement. Personally Known V/ OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identification Produced Produced / (Signature of Notary Public- State of Flo��er�'�, MICHAELW ignature of Notary Public- State of Florida ) Commission Ik HH -I I4 C)8�G 1q r * ' ' 879l1 Commission No. �, *t Expires February ,QMmission No. (Seal) �rF1FF��!\ �M1MThuWilK rySelVkeS REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.