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HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: _C2 1 Permit Number: 97. B. ULF C I 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) 4624578 PERMIT APPLICATION FOR: Address: %�7 "�)y �r , � I Property Tax ID #: ��1 V1 0 •001 (0 Q 01q Lot No. Site Plan Name: Block No. Project Name:, �e rn o:i A\\ -oi New Electrical Meter Second Electrical Meter Additional work to be performed under this permit- check all that apply: - i _Mechanical s Tank Gas Piping _ Shutters Windows/Door's,, _ Pondj _ Electric Plumbing _ Sprinklers, _ Generator = Roof ° ' Pitch Total Sq. Ft of Constru t' n: Sq. Ft. of First Floor: Cost of Construction: /, '�_00- 00 Utilities: —Sewer--Septic Building Height: Name 0: r 8 0 Name Zoh� . (� Address: 7Y3 © , QC_��i� c1� Company: City: �r `J`e�• �p'L�c-�^ State.:- Address: 1 Sa 1 V-6 _ Zip Code: Fax: City: t k - �.��%�- Stater L- Phone N;oi� �— 5'S4S C/ S3 Zip Code:3gq'5_1 Fax:, E-Mail: Phone No. D'i Fill in fee simple Title Holder on next page (if different E-Mail Cr V� b Z ® ►'��'�� 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.' k-19- 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: Not Applicable Name: Name: Address: 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 revi1.ew your deed for any restrictions which may apply. In consideration of the granting of this requested permit, I do hereby agree'thayit'l will, n 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 the jobsite before the first inspection. If you intend to obtain financing; consult with lender or an attorney before commencing work or recording your Notice of Commencement: Si re of Owner/ Lessee/C ractor as Agent for Owner Signature of Contractor/License Holder S E OF FLORID STATE OF FLORIDA COUNTY OF COUNTY COUNTY OF Sworn to (or affirmed) and subscribed before me of Sworn to (or affirmed) and subscribed before me of hysical Preece or Online Noptarization Physical Presence or Online Notarization this day of 202b by this day of 2020 by Na person making stat ent. Name of person making statement. Personal y Known OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identification Pr uced Produced i a ure of Notary Publi - tate of Florida) (Signature of Notary Public- State`of Florida) ' Commission No. (Seal) Commission No. (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE .MANGROVE COUNTER REVIEW ,i REVIEW 'REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 5/6/20