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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: Planning and Development Services Building Permit Application Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 CammerCial--. ReSidential V/ Phone, (772) 462-1553 Fax: (772)462-1578 L MITAPPLICATION FOR:��POSED IMPROVEMENT LOCATION: Address: �D S7 I r- n to Property Tax ID #: Site Plan Name: Project Name: ` -- LP I Zk DETAILED DESCRIPTION -OF WORK: New Electrical Meter Second Electrical Meter CONSTRUCTION INFORMATION: QC Lot No. Block No. o ();-s (R Additional work to be performed under this permit— check all that apply: _Mechanical `Gas Tank —Gas P!ping Shutters — Windows/Doors — Pond Electric —Plumbing —Sprinklers Generator — ROOF --.Pitch Total Sq. Ft of Construction. Sq. Ft. of First Floor: Cost of Construction: $ Utilities: � Sewer _Septic Building Height: OWNER%LESSEE: CONTRACTOR: Name_Mffl Name:�-n�- city' State 'Zip Code: Q Fax: Phone No. E-Ma i I : Fill in fee simple Title Holder on next page (if different from the Owner listed above) Address: City: ( X LILYQ _ _ State:r--L Zip Code: Fax: Phone No2T�-" �453- 4cn 1 . E-Mail SCaSl ex m State or County license if value of construction is 25M 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. UPPLEM'ENTAL CONSTRUCTION uEN LA v INFORMATION r-INUMUK: Not Applicable Name: Address: City: State: Zip: Phone FEE SIMPLE TITLE HOLDER: — Not Applicable Name: Address: City: Zip: Phone: MORTGAGE COMPANY: Not Applicable Name: Address: City: State: Zip: Phone: BONDING COMPANY: Name: Address: City: Zip: Phone: ,Not Applicable OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated. I cerdfy.that no work or installation has commenced prior to the issuance of a permit. un no which is inC on#iiet with any applicable OwnerstAsssociat an ru es bylawns othe r and covenants thto at rbrfaydrestricutbar 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 f e to Record a Notice of Commencement may ret in paying twice for improvements ur ope y. A Notice of Commencement m t be r card d in the public records of St. Lucie Co my n�st d on t jobsite before the first inspecti f Youintend to obtain financing,co with le d a an a ne bef re commencen work or record.) Notice �f Commencement.nsu[t � Signature of O ner,Y�Lessee/Con traEtvNis� Agent for Owner Signature �f Contractor/License, Holder STATE OF F ' RI COUNTY OIL _ STATIF 0 4 FLORIQpA COUNTY F Q�"C Sworn to (or 'ffir ne and subscribed before me of 1 Sworrta (pr affirmed) and subscribed before me of P Ysical-Prese a or O fin Notarization by caI Prese or this day �f 2020 by s O line Notarization day of 2020 by Name of person making statement. Name of person making statement. Personally known —_k_ OR Produced Ide 1 1c Lion Type of Identification "Prod ced ( igna ure o Nota u� e ,� ?c Notary Public State of Florida Commission No. ' . Kari M Ricc c �K Gommisst Q%7%. r UPlres 05/28/2024 REVIEWS FRONT ZONING SUPERVISOR COUNTER REVIEW REVIEW DATE RECEIVED DATE COMPLETED Personally Known V OR Type of Identification Commission No, (VotaryPubhc5t �ee iio Riccabrll��1 "da , My commission GG 967938 oF,.o ExPims 05/2812024 PLANS VEGETATION SEA TURTLE MANGROVE REVIEW REVIEW REVIEW REVIEW a 0 z O m c�a m rn A A 0 D r m m 71 m zi 73 z m 4i CD r u• Cn cn Ul ns W fv C� E7D ..► i co to -�• m w � a3 of O O CD V i)t .. n 'n CO CD (3)CO to b6 z 4 n Qi���� QO M F D > 37 U T .� Oz>cr-w w oaoox- m* O 0 w X C) p ECI1 z 90o=� �z m=ix 0moa C crsM4no_ O N .. o C i N °n m -4 C7��ZD = 0 > L "{ 0 f - >°x' M o� m v w �Q=fix x 2 C A -- 77 m-x-i mD x A 3m ti J m N 0 © Q M z M 0 � 2 m C7 Z :�E 0 Cn C i Fn _ 00 11.�1 O m i n A � -{ C) m � 0 1 D3 to 3: C) D o (n z . m Fig i W IV A IJ m m z .0 V+ m z CA D r- —I C 0-4 0v� xm OU r- 0 0) 0 ; � 0 a CD X i o f o *b' ma MM mm On (oA O Q)a -nw 04 A O >¢ RIB ism 0CD Mm A z m O iJ ,nc4 cl cl m 4 N o th i11 �T" m '-V r CI ( i IOD j C7 CL n y 0 0 0 rc- Q o 0 2 r � C m 0 CD 3 z, c � c o r n G3 CD ol 44 3 p C= 0 0 a z o3-I (D 7 mew CLM0 Qa> d' W of O � � O �y m �m o Cam N CDon a t7 c. 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