HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: OB I b 1;w2..1 Permit Number:
L-:L.."�
Building Permit Applicatior
Planning and Development Services
Building and Code Regulation Division Commercial ✓ Resi
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION
Address: 420 St � Fl.. 3009
Property Tax ID #: 9410A - .2 Z/- - bbd - 7 Lot No._
Site Plan Name: I- 0c., C ILjnn Block No.
Project Name: s'�'. :-VC.I C. AQtk,.r t L.l rh 1ZC-P AcEMemT .d 3 Ale- ym i,-S
DETAILED. DESCRIPTION�:OF WORK:
C0-4C6 ;eooF 'Ibe l� IrZT LA Alc,
`Art) 1 3 -- 4(4E 4 Toy/ /*Q . Z_,5� SEE R- 7.5 //a kw '
IEU 2 IS A IZ. 15 ibA/ Fk-a — // �VE6P_ /z 73 A<A/
New Electrical Meter Second Electrical Meter (Affidavit required)
1"CONSTRUCTIONINFORMATION:'
Additional work to be performed under this permit- check all that apply:
Mechanical _ Gas Tank —Gas Piping _ Shutters _ Windows/Doors Pond
Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ ��4 . DO Utilities: _Sewer _Septic Building Height:
i
OWNERAESSEE..:: ..
.CONTRACTOR:
Name :3VA_0CyL C_00t!�
Name:- JohA 1,. L.Jcd9h
Address: 9,30 ) I/1f4,rA11A AVE
Company: I'r'ou,lc
(�.S•
City: FT. i?icacs State:F6-•
Address:Z88q C-04-Pro6k9- UAV
Zip Code: _gqgWFax:
City: M.ro,_AAAre-
State';
Phone No.
Zip Code: 330z5
Fax:
E-Mail:
Phone No "786 -/Z3 -
-5�5&
Fill in fee simple Title Holder on next page ( if different
E-Mail J AA456 6) I QANE
. Cowl
from the Owner listed above)
State or County License F(OR.tp
A CMC.i2�" 8�3
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.
DESfGNER/ENGINEER:. �.,. Not Applicable - � •' -
Name: MORTGAGE COMPANY: � Not Applicable
Address: Name: 11
City State AddressCity • I
lipc Phone `—' State:
_ Zip: _ Phone:
~FEE_ StMPI:E TITI E HOLDER: _Not Applicable BANDING CpMPAA1Y _Not Applicable
Name: Address Name
City:.
Address:
_�_ �` City:
I
ZIP: ` .� Phone: ZIP: Phone:
OWNER/ CONTRACTOR AFFtDV1T; Application is hereby made to obtain a permit to do the work and installation as indi�+ cared
t certify that no work or installation has commenced prior to the issuance of a permit. i
St. Lucie County makes no representation that is granting a permit will authorize the er nit holder to build the subject structure
which is in convict with any, applicable Homeowners Association rules byla`"ws or angpcovenants that may restrict or prohibit such
structure, Please consult with your Home -owners Association,and review your deed or 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 JO-0wIVMt Your failure to Record a Notice of Commencement may result In paying twice for
iMpro'vements to y ur property. A Notice of Commencement must be recorded in the public records of St
/� -Lucie County an osted on the jobsi_te/LU._C_fore the first inspection. If you intend to obtain financing, consul,
with lender or n att�faey bt;€ara-coXlfT1L�^I^tPP Wh�i[ nr rerr.r:J ...,...._ �i_:.-__ _c ..
Lcsseeluontractor as Agentfor Owner'
STATE OF FLORID It
COUNTY OF
5worn.tp (or afftr edj and subscribed bef, r(e me of
this.day of I 20 ` by Physical Presence or Online Notarization
Name of person making statement.
Personally Known � V OR Produced Identification
Type Identification PrnrIuced
r ntotary Public- State of Florida )
No. 2'4 Z ? 05 (seal)
REVIEWS I FRONT I ZONING
COUNTER REVIEW
SUPERVISOR I P
REVIEW I RE
GF.rgATT.'ERICE
CWC6sIM # GG 242703
Explres&gM s, 2022
LANS
VIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGRO.I1E
REVIEW i
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