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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFOMUSTBE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: UI + I tom Permit Number: r' O f:ri ' 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: PROPOSED IMPROVEMENT LOCATION: Address: 830? H ii b l.TjG,!lAS R000 fit DUN EL. 3-19 51 Property Tax ID It: M l �d. - — 0300 — 000 - 1 Lot No. 8 Site Plan Name: �p Block No. �3 Project Name: hy� IV I" N� 1 5 1� - Vluo TL DETAILED DESCRIPTION OF WORK: e -r vin 1s n o r�e a� r�,ncu I 00 mI New Electrical Meter Second Electrical Meter (Affidavit required) CONSTRUCTION INFORMATION: 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 f Roof 12 Pitch Total Sq. Ft of Eenstf4e ien- 1,7, S q Cost of Construction: $ 3 W oV • 00 Sq. Ft. of First Floor: Utilities: —Sewer _Septic Building Height: OWNERAESSEE: CONTRACTOR: Name Name: (%So on Address: Company: ( II G ;\s�11 City: wh State: Zip Code: 181+� Fax: Phone No.1 0 11 "Z 110It E-Mail:S�(rclffx E?msVE't) WCU • Urn Address:Rlo M6 NY City: I-Wlu'd Stater Zip Code: �?jg I I Fax: 0103 58 3. oftog Phone No 101. 601I'J Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail Somd j . ChAsoTn e gUjC)6ro0hnq. COP4 State or County License TI oY1OI0- 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. I rj C S Lc e re SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: 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: Applicable Name: Address: _Not Name: 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. Lu unty and posted on the jobsite before the first inspection. If you intend to obtain financing, consult ith le er or an attorney before c mencin work or recordingour Notice of Commencement. i re of Ow er/ Le e/Contracto as Agent.f©r Owner I STATE OF FLO DA �,reV arCA j COUNTY OF Sworn to (or affirmed) and subscribed before me of Physical Presence or Online Notarization this y day of 4 i,.L! S + , 20_2LI by Name of person making statement. Personally Known OR Produced Identification Type of Identification Produced (Signature of Notary Public- State of Florida ) �yi+ Notary Public state of Flonda Commission No. H H 0897©1a (Seal) Vicki L Redder .� My Commission HH 089706 I.J Expires 02107/2025 a REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev