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HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: �eT Permit Number: RECEIVED Mm M7,9�� JUN 61 2021 Building Permit Application Permitting Department Planning and Development Services St. Lucie County Building and Code Regulation Division Commercial Residential 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR:(ohc1,r le S`q,l 5'C/°r'7°r7 eao,,-X�, PROPOSEDzIMPR0 EMENT LOCATION Address: s 700 Dq Al Property Tax ID #:7 d 6 — G —0610 — Lot No.� Site Plan Name: lQ h?- k/m0 / A/A Block No. /�3 Project Name: to Ae `✓mdd loarh, F DETAILED DESCRIPTION OF UVORI< B 2 xa1 Cdticrr /fir '041 _1� '05-nWf'l, �'� d �r f . �,.�,'/ -e ,/.v4 AV SCl� New Electrical Meter Second Electrical Meter } CONSTRUCTI ON= I NFORMATIQN„ 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: � 7 G� z Sq. Ft. of First Floor: O Cost of Construction: $ 2 y—©di ® Utilities: —Sewer —Septic Building Height: Ob OWNER/LESSEE." CONTRACTOR": , Name lVq P.e iQ'hae Address: 7Z00h7� je e0t 2-.s A.0co Name: y a Company: o%' c/ '� NM J�riTP�'J City: ryrf- p �z°/`C'+� State: � Zip Code: 3Y ,f Fax: � Phone No 77 — 02 C " 0%02 3 Y E-Mail:df iql he a %r%iyytad, eprn, , Fill in fee simple Title Holder on next page ( if different from the Owner listed above) Address: �! 1;ii 46 A%,4 City: /'a+/' — A I-Meil-P Zip Code: 3 �I9 5-3 Phone No 77a-- i state:F Fax: E-Mail GIhowe l t Z %A? Vi rmis- - a P� State or County License r- 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. , 11PPEEI�{EfVrALCE}NS7R`IIC1QNi�#IENLAIN IN(J2N#AT(QI �° DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: Not Applicable Name: Ai md'4%1 Sl/`�Y I _ Name: Address: / ✓ l4,n W R-Popt i , A4 Address: City: © n &to State: fiL1 City: State: Zip: _12 Phoneq& — 7 — D 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 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 your Notice of Commencement. Signature of Owner/ Lessee/Contractor as Agent for Owner Sig ure of Contractor/License older STATE OF FLORID S�• L_vb, STATE OF FLOR A LUCi_ COUNTY OF , COUNTY OF 61 Swgrn to (or affirmed) and subscribed before me of Sword to (or affirmed) and subscribed before me of V i/ P sical Presence or Online Notarization this Iq_nay of PL&tA 2021 by P sical Presence or Online Notarization this Say of ( , 202� by C `�e i�2On C inn i's l� iL . Name of person making statem t. Name of person making stateme . Personally Known OR Produced Identification V Personall _ OR Produced Identification Type of Id n L� � Typ Identifi atio I L, \ Prod d • Pr duced �L ;�� '��0 "'; LEMUEL R. JOHN LEMUEL R. JOHNSON 111 Notar Public- ©ri(g qHH 998�2 Si natur of Notary Public- ' ri YjY Public - State of FloridaVSignatuf y CCommission # HH 19871y��+missian m. Expires Jun 30, 202C My Comm. Expires Jun 30, 2022Co mission No. ea No.I wow REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 2