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HomeMy WebLinkAboutBuilding Permit ApplicationPlanning and t7evelopment Services . 8uiiding andLode.Regulation Division _ torriftiettial $eSidrt ta( 230t1 Virginia Avenue, Fort Pierce'FL 34982 Phone: (772) 462:4553 Fax: (772)!462-1578 Site Plan Name: Block No. . Project Name: New, Electrical Meter Second. Electrical'Mete� (Affidavit required) Additional: work:tobeperformed under this permit— check all that apply: 1 Mechanical _,Gas Tank _ Gas Piping_ _ Shutters: _ Windows/Doors Electric _ Plumbing _ Sprinklers _ 6eneeat6'r _ Roof _ Pitch Total Sq, R of Construction: Sq: R. of First.F.loor, Cost.of Construction: $^' : / 9. Qc Utilities: Sewer Septic Building Height: 1 Address: S"~ . i� .j" n ".1✓a r.. r Company: /fie 1 5,,1 Z?c i r State. /-t "'Address: / 9V s` ed /f r-><r O .- Zip Code: -Z Fax: Phone No. 7 7 Z J,T7.. "Q s'4d' " Zip Code:7Wf E=Ntaii " f c a / ` / ✓✓t �f l r� Phone No P—T Fill W.,fee simple Title Holder.on next.page' (if different Mait� < ? from the C►wner listed , above) State orCounty License—i If:value of construction is"2500 or more, a RECORDED Notice of Commencenent.is required.' If value of NAVC_is $?,SOO:or`. more., a RECORDED Notice ofcommencement is required, _ _State! Fax: ':77f �,rc rrAGCQInJ � f U A,`{�j€ '� s ■y "/�r[. ? ¢ �LICur ; Y+T DESIGNER/ENGINEER:. _Not licable MORTGAGE COMPANY: Ndf':Applicable Name: Name: Address: "Address: City: State. City:_.. - State: - Zip: Phone Zip:: Phone: EEE:SIMPLE TITLE HQ%D 'R: "Not Applicable BONDING bMPANY , ` " _Not.Aoplkable` Name: Name: - Address: Address:. .'City: City - Zip: Mo ' 71p• phone- .OWNER/ CO - CfOR AFFIDViT:. Application is hereby made -to obtain a "permit to do the work and installation: as indicated'. certify Oat.n6work or installation:has commenced priorto 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 andpcovenants that may restrict of prohibit such structure.: Please consult with your Home Owners:Association and review your deed for any restrictions which may apply. In considerati©n,"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 Commencemerit`may result inpayingtwice-for' improvements to your property. A Notice of Commencement must be recorded in the public records of St. Lucie County and posted, on the jobsite before the first' inspection. If you;in tend to -obtain financing, consult with lender oran'.attorne before commencing -Work orrecordin our Notice of Commencement.. Signature`ofOwr er/lessee/Contractoras Agent for Owner`' COUNTY OFQRID-STATE 0 ,. bed befo pmepf' 'Physical Presence or Online Notarization 20y� by Nanfe of Person making st . emenf " rsonally Known V OR , oduc is f Identi6eati r du f is re o tart' R bblli f1l,orio Commission No. REVIEWS FRONT ZONING COUNTER `REVIEW DATE . itEEEIVED DATE COMPLETED Rev rn �DANIELLE B. JEWELL ; = Notary. Public- Slate of Florida Commission E GG 137394 My C—m. Expires Dec 5; 2023 SUPERVISOR -PLANS VEGETATION SEA TURTLE MANGROVE ,REVIEW -',REVIEW REVIEW REVIEW REVIEW