HomeMy WebLinkAboutBUILDING PERMIT APPLICATION All APPLICABLE INFO
�jMUST
IBE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: /' /"/' �/ Permit Number: RECEIVED
�
��o LL1C��C JUL 19 2021
$ St.Lucie Canty
Building Permit Application Parmlltft9g
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: P-Q -e oO ►G D I% C-2.e4-aChec� C4 ra
°PROP.OSED, fMPRuEMENT L'OCAThON
Address: (/) k.•e (Y- S�eX4-
Property Tax ID#: 2 y j C) — &Cq — 0009` vo o, 0 Lot No.�
Site Plan Name: Block No.
Project Name: S► n 14-ln ea-1
DETAILED DESCRIPTIOfV OF WORK
. W... . _
16444 M k,( T S- y omrca,Qv
New Electrical Meter Second Electrical Meter
'CONSTRUCTION_INFORMATION
Additional work to be performed under this permit—check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters _Win ows/Doors ri _Pond
ei
Electric _Plumbing nn Sprinklers _Generator Roof 0 /Z Pitch
Total Sq. Ft of Construction: '+� V � Sq. Ft. of First Floor: b 0 C) st
Cost of Construction:$ Utilities: —Sewer _Septic . Building Height: �L
01NNEIZ/LESSEE CONTRACTOR
Name iuz rl1 Name: J�
Address:-2 (R IC.�1r(— 1�;�• Company: rolr)(Ap anhnoi
City: FD0' e )err, State: Address: 10 1 S N)�/ (— Ci T
Zip Code: 2 L/G'i Lil Fax: City: KL, tate:
fi—
Phone No. '�7`y—(p2 _(�� Zip Code: .3 L/CJSZ Fax: 335
E-Mail: Phone No —7 3 S s
Fill in fee simple Title Holder on next page(if different E-Mail CGS ;t-# tJ?X 1rr7n, . C
from the Owner listed above) State or County License �CCQ32.sj(3
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.
SUP -LEMENTAL CONSTRUCTION LI4EN,LAW INFORMATION a°
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 er or an attorney before commencing work or reSpf0jMyour Notice of Commencement.
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�ignature
Owner/Lessee ont actor Agent for Owner ignatur Contractor/Licens H d
FLORIDA STATE OF FLORIPA
COUNTY OF L(q Cie, COUNTY OF (�e
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✓ Ph,y�ssical Presence or Online Notarization �/ Ph al Presence or Online Notarization
the y�'�day of �(/1 2024 by this_dda of IM14 202A by
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Name of person making st ment. Name of person making
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Personally Known 'vng OR Produced Identification Personally Known V OR Produced Identification
Type of Identification Type of Identification
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
CO M P LETE D
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