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Home My WebLink AboutBuilding permit app i All APPLICABLE;,INFO MUST BE:COMPLET I),FOR APPLICATION TOM,ACCEPTED (Date: `7 I al- ae j. Permit Number: 2' ��©a35 uilditng.To Jt. Ap dicat on rml IPlannrng:6naf DevelopmentServices , Suridirig;ond Code Rkuddtron Division COrnmerciai Residential. - . �2300`Vlrginra,Avenue,Fort Pierre,FL 34982 Rhone:(772)462-1S53 Fax:(172).462-1578 (PERMIT APPLICATION;FOR: RC3POSED IIVIRROVEMENT � Y Address: AtJ�. Y Property Tax tD#: ' t1!'S. D. CA-- coo Lot"No. Site.Plan Name: Block No: . Project Name: . . : . . 7 DETA{LED D, SCRtPT10N OF UI/ORtC `z r' S_{ m� Uac.� cr f New Electrical Meter Second Electrical Meter— Ct�C S�TRU-attJN t4( � RN AThQN A� ,.. �.re ... . Additional workto be performed .under-th'is:permit check all that,apply: Mechanical: Gas Tar k Gas Piping. Shutters. Windbws/Doors �Pond i Electric Plumbing. —;Sprinklers Generator Roof Pitch Total Sq.Ft of Construction:: Sq.'Ft.of First Floor: ,Cost of Construction.,,$ - i oti Utilities: —sewer, ..Septic Building.Height C?WNER�'LES�EE �oI�TRcTORs Name,1 Anfik ;;':Address: y!� ` i5w V/8rec>AA.:..04.OaC::,. company:_ 1k City: .5u1171-. L state::Fi Address:_ ,91y :,5 (31-e►.AU-4 j Zip Code ` . Fax! City 64 4" State::F1 . 1i Phone No 5 (pOc (a.lp� Zip Code: 3�1� Fax: l. Phone•No , Fill in fee simple Title Holder on next.page,(;if different: E-Mail. x�O.l~' eeVI-N ` :.cr` t 1 ? 1, from the Owner listed above)- State or County License: If value of construction is 2500.sor-more a REC6R0ED,Ngtice of Commencement is required, if value.of.HAVC.is$7,500.or more,ar.RECORDED Notice of:Commencement is:required; SU IVT�PPLENIELCQNSTR'UCTIQN$.IEN LAW INFQI�IVIATICtI � t DESIGNER/ENGINEER: _ Not:Appiicable MORTGAGE CO'NIPANl(. Not:Appllcable Name: Name: .Address: Address: City: State:. City: State': "Zi'p: .Phone_Phone Zfp Phone:. FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: _Not"Applicable Name: _ _. _ Name: Address: Address: City; City. Zip: Phones _ 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 Counttyy 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.suc h ct struure..Please consult with your Home'Owners Association and review your deed for.any:eestrictions which may apply.. In consideration"ofthe;granting of this requested permit,I,do herebyagree that I will,in all respects,performthe work in accordance with the approved.plans,:the Florida Building Codes and St. Lucie County Amendments. Thefollowing building permit applications are exemptfr.bm undergoing a full ebocurrency 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 ttec"ord a.Notice of Cornmence'Ment may result in gay,ift,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 jobs ite before.the first inspection.,If you intend to obtain financing,-consult with lender or an attorne before:commend.n work or rec 6rding. our Notice of Commencement. ignature of Owner/Lessee/Contractor as'Agentfor Owne"r Signature of.Gonfractor/.t icense Holder I s STATE'OF FLO" I A STATE OF FLORIDA , COUNTY OF LCS�2 COUNTY,,OF : t+ L:K,ci`£: Sworn,to(oraffirmed)and subscribed.before me of Sworn to(or affirmed)and subscribed before me of Physical Presence or, online Notarization P ysical Presence:or ,Online Notarization this M day of, LA" 202Q.by this day-of�iA°�t t Name'of person making statement.. Name of:person.making statement. Personally Known }f OR Produce_ d Identification Personally Known, OR-Produced Identification, Type of Identification Type of identification Produced: Produced:. _ (Signature of Ncitary Public-State of Florida,"). (Signature of ary Public-State of Florida ). Commission No.ti 1®d IO % ission No. ,04 f v:`7 a .ram ( o�ly.Putrtic Sate of fly mm ' otary .ublic SrstF of Elands. Lisa:Blair Lisa Blair AT My commission HH 0281 07 . , ®r„ . i 24 Expire -0NO W024 REVIEWS FRONT JLA N S VEGETATION' COUNTER. REVIEW` REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMRLETED Rev.