HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE
Date: L4 zb
ACCEPTED
Permit Number:
RECEIVED
APR 2, 0 2021
Building Permit Application PcrmltL9�` artrrient
Planning and Development Services
Building and code Regulation Division
2300 Virginia Avenue, Fort Pierce FL34982 Residential_
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial
PERMIT TYPE: on✓n"-' r A- * "!�I
Address: �3 T S�VC � A-�`e«e y-
Property Tax ID #:
Site Plan Name: _
Project Name:
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters
Electric _ Plumbing _ Sprinklers _ Generator
300 T F
Total Sq. Ft of Construction: Lo �� ►-.�c�9• Sq. Ft. of First Floor:
Cost of Construction: $�� Utilities: _Sewer _Septic
Name
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Address:
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City: :F:Tw.iy-
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Zip Code:
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Phone No.
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E-Mail:00NES2vA(-Z-:
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Fill in fee simple Title Holder on next page ( if different
from the owner listed above)
Name:
Company:
Address:
City:
Zip Code:
Phone No
E-Mail
State or County Licens
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.
Lot No.
Block No.
Windows/Doors
Roof __ Pitch
Building Height:
Fax:
State:
DESIGNER/ENGINEER:
Name:
Address:
City:
Zip: Phone
FEE SIMPLE TITLE HOLDER
Name:_
Address:
City:_
Zip:
Phone:
Not Applicable
State:
Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
ArldrPss:
City: State:
Zip: Phone:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
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 YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
4. .\—^. 1CV --nor: o—nionflum : YOUR NCIF OF COMMENCEMENT."
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