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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE !NF MUST BE COMPLETED FOR APpUCATION TO BE ACCEPTED Date- P Permit !Number. LUG L _ L° L L. Planning and Development Services Building Permit Application Building and Code Regulation Division 2300Virginia Avenue,Fort pierce FL34982 COmmercfaf----� Residential Phone. (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: PROPOSED IMPROVEMENT LOCATION: Address, I fi Property Tax ID #: Site Plan Name: Project Name: �1 + DETAILED DESCRIPTION OF WORK: New Electrical Meter � Second Electrical Meter CONSTRUCTION 1NFQRMATiON: r&Tdl Additional work to be performed under this permit- check all that apply: ,Mechanical , Gas Tank —Gas Piping Shutters Electric — Plumbing — Sprinklers , Generator Total Sq. Ft of Construction: _ Cost of Construction: $ OWNERAESSEE: Lot No. Block No. -�� �1Nindows[Doors Pond Roof --. Pitch Sq. Ft. of First Floor: Utilities: _, Sewer _ Septic Building height: �^ "Address city: CD Late: 'Zip Code: Fax: Phone No. E-mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) CONTRACTOR: Name: Address: City: _ ( 2 _ Stater Zip Code: -' Fax: Phone No-7-1Q 4S 3— l N State or County License If value of coos#ruction is 25W or more, a RECORDED Notice of Commencement is required. If value of NAVC is $7,500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUi7°roN LIEN LAW'INFQRMATiON: near-.r� ��-•- - -- - Name: _'"., "•�`�■ceK: __._ Not Applicable Address: City: State: Zip: FEE SIMPLE TITLE HOLDER: Name: Not Applicable Address: city: Zip: Phone: OWNER,f CONT MORTGAGE COMPANY: Not Applicable Name: Address: City: State: Zip:_ Phone: BONDING COMPANY: —Not Applicable Name: Address: City: Zip: Rhone; RAC.TOR 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 cornmenced 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 structure. Please consult with your Horne Owners Association and review our deed for an restrictions which may apply. In consideration of the granting of this requested � y Yp fbrt such 4 permit i do hereby agree that I will, in all respects, perform the wrk in accordance with the approved plans, the Florida Building Codes and 5t. Lucia 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 re tin paying twice for improvements spur cperty. A Notice of Commencement m t be r ord d in the public records of St. Lucie Co my an i:dst d on tFre jobsite before the first inspectip f you rnten with ter d aan a ne before commencin work or record'n to obtain financing, consult ° " WNotice . f Corrimencernent_ i F Signature of C ner, Lessee Con traetOF-;�sAgent for Owner JJJ STATE OF FORII COUNTYOF Sworn to [or Iffirmer�) and subscribed before me of _6 P ysical Pres �e or n ine N arization this day �if 20 2by Name of person making statement. Personalty Known_ OR Produced Type of Identification _____ Commission No. REVIEWSLFRONTR DATERECEIVED HATE - (Votary Public Stale of Florida Karl M Ricrac,.,,,; Expires 0512872024 STA Sworq to Or affirmed) and subscribed before me of Ph��al Pres s dayof� O 'ne N taization 2€JZ by � vC�-t� Name of person making statement. Personally Known k OR Produc d Id ntification Type of Identification =� Prod d ., ( ignature IF of ' - e af, Florida Commission No. r°erg Notary Public St ��ee a ' M Riccab99AfJontla pY ~?oF ? �y Comrrrrsslon Expir�5 0517RnnGG 967938 ZONING REVIEW SUPERVISOR REVIEW PLANS REVIEW VEGETATION SEA TURTLE MAfVGRO REVIEW REVIEW REVIEW s P o� cn cn N cr, co W crs � w n3 ttx ca w -' -4w..-n U) -0 N n 03 Z r- 0 X m W o o 0 X m © w N > > z Y CA) ? -! * zi •- z �J m2 tQ�O'C_ O ur �©C)a 4 N N N a -C x Q t> n rn D c > CD 0 L � © o t- d in z y o X Q m m0 Ca r (A c I > :t m o - I c vrt >c M o 0 d Cc -ma m ma - 'C mom —NOOFix ,;M—z tv O 03 N .. 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