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HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date:Permit Number: /01)?3 3r r' RECEIVED -- Building Permit Application Planning and Development Services JUL 2�6 021 Building. and Code Regulation Division Commercial Residential n 2300 Virginia Avenue, Fort Pierce FL 34982 Permitting Phone: (77-2)-462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR:LJ l '4i`3Y C�'a '='�k Address: ` 5 7 Property Tax ID #: 7� ©1 -� 6 / !13 Lot No. ! � � � -. Block No. Site Plan Name: , _�_^����J �� (�1-���C� Project Name: ,�� -,- =w� o"" &.�5; a -� 'eM .+`'r'��:h �`i:+a£.hw�Ytryy�,� �h2�.... mot. p �.• rt "Is3- '� sate i � "": ti. �s:.�., r �.e'T i�u .: yy.�?�' ^.c�� ..wr . ..a, _.�'., fix+ t r New electrical Meter Second Electrical Meter a --'"-�4,....sr,--;c.c i$:• SUN v*,�y,._:r y��3*+�ry(' ,, ��'[�j#{{'���, [�•`��i' 1 � S,�j�. h.� a � .4 4., '`' Y?'>s�' �la.e.'�,�.4.��c.�.a�..c�, �tl,�1`�--��..'F<„y-'a�.�xt ,a`L�" y'�'J?+: Additional work to -be performed under this permit— check all that apply: _Mechanical _ Gas Tank —Gas Piping — Shutters '� Windows/Doors _ Pond Electric Plumbing _Sprinklers _Generator _ Roof Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction: $ 6A D Utilities: —Sewer _Septic Building Height: �3 x �r.. �'�S' �2^. i� .v; .� 4 K s.,i .3'dr �, �a k ss �+ a:"s'�-�s ✓'� I:Y� T r-:Y„=� x ,yr t�y„�„ _+�_wy n �i�ilfGkt�L��7������ s !�u�����..��`�����t�s«t� Name Name: Address: 2 `7% / V� t►t �O� Compahy; City: —& n7G4t_ State: _rAddress: Zip Code: Fax: City: State: Phone No. Zip Code: Fax: E-Mail: Phone No Fill in fee simple Title Holder on next page (if different E-Mail from -the Owner listed above) State or County License 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. Name: Address: City: State: Zip: Phone FEE SIMPLE Name: Address: City: Zip:. Phone: Not Applicable MORTGAGE COMPANY: p0licaW otA .. Name: Address- 7 'T City ; 7i 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 instaiiation as inoicama. Iceqifyihatnowork.orinstaii6fion,'has commenced or.iprtothe,issuance:--bfapermit: , St. Lucie e ' County ' makes n . p representation that is. granting a , permit will authorize the permit holder to build, the -subject structure which ch 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 afi& 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 uncleirgoing 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,fallure to,.Record a 'Notice of Cornme'ricement,may,resultJn. paying twice for emen m recorded. in the reeo.rcls of'St. improvementsto'"erty. A - Notice ',of.Comnl6rit " ' t" must ec financing,,* co' s 0 Your property: the firsfinspection.'If you'intend to obtainnsulf Lucie County and posted the jobsite. before. -1 - ­�� � L- nr na,-nmAitia uni ir Kintirp of Commencement. WILI I lallulal 'Lis 9" a U I Signatu 6Ai� Lessee/Contractor gent for Owner py6f n r/ Les?e cior as A Signature of Contractot/Uicense Holder STATE OF FLORIDA STATE OF, FLORIDA COUNTY OF COUNTY OF Sw n to (or affirmed) and subscribed b . efore me of Sworn to (or affirmed) and subscribed before me of Physical Pre�,ei Online Notarization Physical Presence or online Notarization . 'ror this ZOO &y of jj� (A 20 _Z I by s — day of 20 by this J Sf H 0 peln Ke, wx nt. Name of person making statement. Name of person making statement. Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Id ffi W Icatto CD Type of Identification Produced Produ&d REMEE III (Signature of Notary Public- lqalw qfi.*r 41ary Public, State of Flori a ( of Notary Public State of Florida,) 9 Commission# GG 17927 Commission No. tsqkomm. expires Mar. 4.120 rggnature 2C mmission, No, ...(Seal) 0 mmissi REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW .'REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Kev. 51 blLu