Loading...
HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMI Date: ST. L�.ICIE - C�o F L O R I U A -�► "'ED FOR APPLICATION TO BE ACCEPTED Permit Number: Solt, a -I • auftWede 0 6Ui-ViUJwJad Building Permit Application 1101 F'® Nnr Planning and Development Services % Q3A13 Building and Code Regulation Division Commercial V Residential ��� 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: PROPOSED IMPROVEMENT LOCATION: Address: U 93 05 ULIL4 P;A;-. Of A 2 i I FEi 3gg !4 Property Tax ID #: 14 6 - I" - bo -SOD Lot No. Site Plan Name: Block No. Project Name: L 1�- /1 000&A �. DETAILED DESCRIPTION OF WORK: V 1 /lil_4m-0 kA.v G i1__ n/_nd- Cinnnl'AMGa� 1 . r lJ I 1 .1 - New Electrical Meter Second Electrical Meter, CONSTRUCTION INFORMATION: I 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: $ cP-'2DD , Utilities: —Sewer _Septic Building Height;, s., OWNER/LESSEE: CONTRACTOR: Name Name: Aftg1hM E P46gl-k Address: '- 1GkS '�4�� �Q14�� Company: S.. City:_ 1Fer��%. State: Address: IOS ©�N`�� ti %�1tif�1 Zip Code: Fax: P City: vmtb N4,,(.. State: Phone No. ryy) - 033-goG3 ZipCode:3m8 (ad Fax:-MaSA -CH-s,13_ E-Mail: ml Phone No Fill in fee simple Title Holder on next page (if different E-Mail State or County License E> I}t 6 ek-bg 3 I clB from the Owner listed above) 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. SUPPLEMENTAL -CONSTRUCTION LIEN LAW INFORMATION: DESIGN E GINEE . _ Not Applicable MORTGAGE COMPANY: L.-,Not Applicable Name: Name: Address: I o Address: City: Stater City: State: Zip: 3'W32k Phone I-•���s - 3 t l 3113 Zip: Phone: FEE SIMPLE TITLE HOLDER: i/ot Applicable BONDING COMPANY: _\.,Nbt 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 our Notice of Commencement. S�nature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA �� ' �t/tC_1 a STATE OF FLORIDA �/n COUNTY OF Iy Pvi t. COUNTY OF •�trn Sworn or affirmed) and subscribed before me of Swor o (oraffirmed) and subscribed before me of h sical Presence Online Notarization this day of v�N e— 2020 by Physical Presence,or' Online Notarization this day of !�]a,w, 4 2024 by (4 k-�a V11 CC) &LS�A'4 Lb Name'of person making'statement.' - Name of person making statement. Personally Known OR Produced Identification Personally Known ,OR°Produced Identification Type of Identification Type of Identification'" P uced I Pro uced ' Con nis>tloef H (Signature of NotaryPu lic- State of oFF� `F nature of Notary Public-"Sta a of Florida ) Commission No. (Seal) r B State of Florida Commission No. q ;• rPVPU'• 4S�1 AL. Ate of �r ?: Notary`PPoot� < commission # GG 940061 ires Feb 22.2024 Bonded throug National Notary sn. REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION O E COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.