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Home My WebLink AboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 2 Date: Permit Number:a< 1 JUL 212021 0 St. Lucie County Building Permit Application Permitting Planning and Development Services 1(1(4, i dYo 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: �� _�� Y �� ]�1C£l� 1� k 4� ��d.i�i � ��4-cf Y,✓i�!'e "��'�N�S553� -0 �m„f �� 'y'-. Address: 5 i 4 I �1 -'W J� X� [�oY/"i�� •'�+Y� e--e- PropertyTaxlD#: 3y©�'©�• ©� -1� V�©1 Lot No. Site Plan Name: j: q `gyp Block No. Project Name: _S'Tai' tCA%Ur, 3000 �S: w :T- 1 NCeW:_:F_l_eetri: al_Meter Second Electrical Meter (Affidavit required) y`.e'�,i. a`•.k= s,�'_ P ,'xe , § ' �5 �'i s-_ ,93�c.• _ Additional work to be performed under this permit - check all that apply: _Mechanical _ Gas Tank —Gas Piping _ Shutters —Windows/Doors _ Pond g-,/Electr.ic _ Plumbing _ Sprinklers _ Generator _ Roof Pitch Tztalq Etof Gortrutio 6 S�f*� Sq. Ft. of First Floor: { Y $00 o0 Utilities: Sewer _ Septic Building Height: C-, �C�ans�trt�ciien�$ = 9i5 ' �' k i 4t r� i..�. .. "i F dR�.` f VN Al }�R.�[ - �/}+��-�1 4, °u x'A 4Y� %£"' F C k .�` i•j�''fi3"i. f�-z.F.tFsn''*..�1., 3 5 `4"•ji'+ £"p�'��o pe"afJ •' iMn A'' '.� ei, Lj ],�yi G" ��i�+bCi,U LyF..kS.h�3'a'"�L4jT`V`�i.`•"'� Name 5 e° vV? 0.0 v Ia\-'�LVY)c" Name: _ _ Address: S I `f 1 I-V b Company: City: T-0" , _. -2- State: Zip Code: '3 ty 1 Fax: Phone No. 7 13, G 90,00 Address: City: State: Zip Code: Fax: Phone No E-Mail: S "l k O M t S 1 ' Fill in fee simple Title Holder on nex page ( if different from the Owner listed above) E-Mail State or County License If value of construction is 2500 or more, a RECORDED Notice of Commencement is requires. If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required. IN Ir?�Ysa Naltoi'TM..fi'1tu'�a4''. DESIGNER/ENGINEER: Name: ul _ Not Applicable 3 MORTGAGE COMPANY: _ Name: .».�i Not Applicable Address:, Address: City: Zip: Phone State: City: Zip: Phone: State: FEE SIMPLE TITLE HOLDER: Name: Not Applicable BONDING COMPANY: Name: Not Applicable 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 Co improvements to your property. A Notice of Comment Lucie County and posted on the jobsite before the with lender or an attorney before commencing' ctor as Agent for Owner STATE OF FLORIDA COUNTY OF SDI— 4u4Ae° ay result in paying twice for !Me recorded in the public records of St. f you intend to obtain financing, consult our Notice of Commencement. Sworn to (or affirmed) and subscribed before me of Physical Presence or Online Notarization thisZA dayof 20 Z(by Name of person making statement. Personally Known OR Produced Identification Type of Identification Produced 7)�_ CSignature of Notary X lic- State of Florida ) Commission No. (Seal) REVIEWS I FRONT ZONING COUNTER' REVIEW DATE RECEIVED DATE COMPLETED HHERBURFORD state of Florida -Notary Pubi o My commission 202222 Expires February SUPERVISOR I PLANS VEGETATION SEATURTLE I MANGROVE REVIEW REVIEW REVIEW REVIEW REVIEW