HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST
Date: BE C(• I L E'T E"D . F . OR -APPLICATION TO -BE ACCEPTED
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Permit Number:
RECEIVED
NOY 13 2020
Building Permit Application
,Planning and Development Services Peffnitting Department
Building and Code Regulation Division CO'St, tucfe'County
2300 Virginia Avenue, Fort Pierce FL 349s2 Commercial Residen'tiai—,
Phone: (772 .) 462-1553 Fax: (772)'462-:1578
PERM iT APPLICATUN FOR-
7 �-Wr- �---M
Addres
Property
site Plan Name: Lot
Project Name: Block No.
ad D -JL-
A7
New eli2ctrical Meter ----- SecondIFf Electrical, Meter
2nit �4-
W1 Vm �MM
@ X -noma t
Additional work to be perfo'rmed under this permit- check all that apply:
—Mechanical Gas Tank — Gas Piping Shutters
Electric Windows/Doors Pond
—Plumbing — Sprinklers Generator'' Roof
Pitch
Total Sq. Ft of Construction: fo ca) It r-) S
Cost of Construction: $ q. Ft. of First Floor:
Utilities- ' —Sewer Septic Building Height:
110131 AM. NOUN.
I, I V
Name . . . . . . . . . . . . . . . . . . . . . . .
uL.
Address: Np�ne.
City:
Zip code: State.-VL1.Address:- i
Fax:
Phone'No. Vqo City:
C/
E-Mail: Zip Code: Fax:
Phone No
Fill in fee simple Title Holder on next page-( if different E-Mail ------
from -the Owner -listed above)
State or County License
value of construction is 2500
value of HAVC is $7,506 or more, a RECORDED Notice of co mencern . ont is required.
-or more, a RECORDED Notice Of Commencement is required.
State:_
OWNER/ CONTRACTOR.AFFIMM Applicationis heret
I'certifythat no work or, Installation,has commenced prtorao,t
St Lucie Coun makes mo represent1- iUoMfe Owne stAssoc aE
made to obtain a permit to do the work, and installation as indicated.
which is .in conflict with any, appllcab e
structure: Please consult with your Home owners 'Association and review y��, - - perform the work
In consideration of the granting of this requested permit, I do hereby agree that I will,; in all respects,
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,
ures swimming pools, fences, walls, signs, screen rooms and accessory uses to anotheranon re1Ce f use
accessory struct .
mencement'rnustbe recorded In'the Pn franc g onsul
WARNING TO OWNER: Your failure to Recq'de ;ofi Comof Commencement may result too :obt 21
Improvements to your property: A Not
Lucre County a'nd'p'osted on ttiel�obommenc'n twork or recording �Ioul Notice of Commencement:
,"ii:6 IPnrfer or an attp a before c
as Agent1or owner
re
STATE OF FLORIDA
COUNTYQF..,S
Sworn to (or affirmed) and—subscribeded Online fore me of
lotion
Physical Prese`nce�4r20a-a by
this3 �d'ay of J
Signature of Contractor/License Holder ..
STATE OF FLORIDA
:COUNTY OF
Sworn to (or affirmed) and subscribe online, fbreme of
Physical Presence or. ion
20_ by
this day'of
o", Namt3 of_persori making statement.
Name,of person making statement. K wn OR Produced Identification —
Personally Known OR Produced Identification
Type of Identification
Produced L' 0 ti
(Signature of Nota Pub,
Commission No.
REVIEWS FRONT
COUNTER
DATE
rDECEIVED
ATE
OMPLETED
lore =W?1r 022023
MY COMMISSION # GC
Oecerober ts.202o
BIMM tWpublic Uhder0ters
ZONING
REVIEW
SUPERVISOR
REVIEW
Personally no _—
Type of Identification.
Produced
(Signature of Notary Public- State of Florida )
(Seal)
Commission No.
PLAOVE
NS VEGETATION ' S R E LE, MOVE
RE EW
REVIEW REV-IEW