HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
i nre 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: 330-7 Nbr+Ai -F>I,//cl
.PR OVE
� R M-E
Address: TAVfA A —
-63 4
Property Tax ID #:-130 1 - 670 0 - Q 154 - 0 00 Lot No--,'�3
Site Plan Name: - Block No. 9L4
Project Name:
DETAILE' SCRIPTIOU-0FWORK.-
K�(kce- 50 6-A
43 d
New Electrical Meter Second Electrical Meter
QNJNF7RMATION:
Additional work to be performed under this permit - check all that apply:
___�Mechanical Gas Tank — Gas Pining 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:
,1
EVLE-S�
Wk. A SEE:*
N. :OR:
Name
Add ress.-120-7 Nbr+h
Name: 49� M,74-+-rt A F i-A-
Company:--C Ajaej�-T�V 'PILIM
City: 16r-4- -Pte�re-e -State: H-
-AC
Address: L53-7 Goufh
Zip Code:3-,4q,!5-0 Fax:
City.T&tr+ 5t " e St-At-ef
,7
Phone No.-174) RUT �b-6 0
Z i p Co d e ZJJ5; -2-- Fax:
E-Mail: o n
Phone No 3' 7-f32-2-2-
Fill in fee simole Title Holder on next 13age ( if differant
F:-Mail 1 (41) 1'.n,52
State or County License6 FL 14 -2 N -25-
from the Owner listed above) I
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.
CrIU11MLEK: —Not Applicable
Name:
:'Address!
City: State:
Zip:' Phone
FEE IMPLE TITLE HOLDER: Not Applicable
Name:
Address:
city.
Zip: Phone:
MORTGAGE COMPANY.- Not Applicable
Name:
Address:
city: - State:
Zip: 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 installationas indicated.
I'Certifv that no work or installation has commenced Prior to the Issuance of a permit.
St.LucieCoun makes no representation that is granting a permit will authorize the permit holder to build the subject stry cture
which is in co%ict with any applicable Home Owfiers Asioclation ruler., by, or and covenants that may restrict or prohibit such
your
structure. Please consult with your Home Owners Association and review awsdeed for any restrictions which may apply.
In
" Of Me 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 thn J bsite before the first inspection. If you irltend to obtain financin& consult
0"
witNiencher or an attorney bee commencing work or recordinLrAinitr Pdr2rtt-a ri-f
as Agent for Owner
STATE OF FLORIDA—
COUNTY OF - 7
5V,Fn to (or affirmed) and subscribed before me of
Ph - I Pre!*nce or Online Notarization
_!]ysIca
this j day of 2024 by
4�
Name of person making statement.
Personally Known V11" OR Produced Identification
Type of Identification
Produced
STATE OF FLORIDA
COUNTYOF S.T' Lucip_
Sworn to (or affirmed) and subscribed before me O*f
nce o
Physical Pres!, r Online Notarization
this 1_-J� day of 2020 by
Name Of person making statement
Personally Known OR Produced Identification
Type of Identification
Jbignature of Notary Pu ill - - - -1 — —
AANE COLE :t_u'r'e"cfrJN=tarV -P.ublic- State of
1E E
W _ COL
Flodida
Commission No. Nota;= State of
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My Comm. Expires Mar 14,2024
through tiffnal N AwL
ptia
SUPERVISOR
REVIEWS FRONT PLANS VEGETATION SEA TURTLE
Vl� R VIV
COUNTER REVIEW REVIEW RELVI EW REVIEW REVIEW
Nowy X!s�tatL� �0
C001111ftion # GG so
MY Cam. Expiress A& r 202,
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MANGROVE
REVIEW