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HomeMy WebLinkAboutBUILDING PERMIT APPLICATION All APP [CABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED � Date: �� Z Permit Number: r�l 0 r ` ` I RECEIVED AUG 2 7 2021 Building Permit Application St.Lucie County Planning and Development Services Permitting Building and Code Regulation Division Commercial Residential 2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 CBDG Funding PERMIT APPLICATION FOR: PROPOSED IMPROVEMENT LOCATION: Address: A Q IL' 4 r- �)E PropertyTax ID#: C)CK)- Lot No. 07� Site Plan Name:: 1 n 1 Block No. Project Name: lbtTAILED:bt"SCRIPTI'ONO'F'WORK: ' New Electrical Meter Second Electrical Meter (Affidavit required) .CONSTRUCTION INFORMATION: . Additional work to be performed under this permit-check all that apply: _Mechanical /'Gas Tank _Gas Piping _Shutters _Windows/Doors _Pond Electric V Plumbing _Sprinklers _Generator _Roof Pitch Total Sq. Ft of Construction: Sq. Ft.of First Floor: Cost of Construction: $YC�M Utilities: —Sewer _Septic Building Height: OWN ER/LESSEE: CONTRACTOR: ; Name Name: yr He_ C= Address: elf© Company: 1�1 City: t;'v V Q+`:Xcti State: Addres�� 1,6 0- ! /(,4 j� - 061 Zip Code: 3c.(gka Fax: City: vo/'( ST. - - ' State: �• Phone No. ar)a- 3 - 3 0c E- Zip Code: `i'� Fax: Mail: c�`�$��gScs a,s, ® - ewe Phone No ? �6 y Fill in fee simple Title Holder on next page(if different E-Mail 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. a r ,'F SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: 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 conflicts with any,applicable Homeowners Association rules, bylaws or and covenants that may restrict or prohibit such structure.Please consult with your Homeowners Association and review your deed for 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 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 our Notice of Commencement. Signature of Owner/Lessee/Contractor as Agent for Owner STATE OF FLORIDA COUNTY OFF, Swor�n/to(or affirmed)ands bscribed before me of Physical Presence or Online Notarization thisQLday of 20 (by V)F+\n �r 7�- Name of person makings atement. Personally Known l OR Produced Identification Type of Identification Produced �QA � (Signature of Notary Public-State of Florida) o,Vs;;%c DEBORAH STEVENS Commission No. (Seal) * * commisslon#HH 154345 N7 C� Expires August 11,2025 �gFF,oQ` BondedThru Budget Notary Services REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev 7/2 024 Gmail-Receipt m10 debbie stevens<debbie.dirtydeeds@gmail.com> Fwl Receipt 1 message Customer Service<cs@fpua.com> Wed,Jul 21,2021 at 1:20 PM To:"DEBBIE.DIRTYDEEDS@GMAIL.COM"<DEBBIE.DIRTYDEEDS@gmail.com> RECEIVED AUG 2 7 2021 Permry lttingn Fort Pierce Utilities Authority 206 S 6th Street Fort Pierce, FL 34950 Receipt Number: PYFAT00007215546 Receipt Date: 6/2/2021 Customer ID: 264258 Location ID: 10008320 On Behalf of: Re Service Address: DIRTY DR DS CONSTRUCTION CLEAN 410 SAEGER AVE 410 SAEGER AVE FORT PIERCE FL 34982-3939 FORT PIERCE FL 34982 USA USA Total Amount Received by Check $3,200.00_ Please note:Florida has a very broad public records law.Most written communications to or from Fort Pierce Utilities Authority employees regarding government business are public records,available to the public and media upon request.Your e-mail communications may be subject to public disclosure. (For additional information,go to https://www.fpua.com/information/Privacyinformation.aspx) https:imail.google.com/maiYu/1?ik=8a646e0200&view=pt&search=all&perrnthid=thread-f%3A1705915733644021347&simpl=msg-f°/o3A17059157336... 1/1