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HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number:. RECEIVED BUilding Permit Application Planning and Development services S E P 2.02021. Building and Code Regulation Division Commercial ReSide,l' t6m'tlCoun 2300 Virginia Avenue, Fort Pierce FL 34982 Permimng Phone: (772) 462-1553 Fax:.(772) 462-1578 PERMIT APPLICATION FOR: . PROPOSED IMPROVEMENT LOCATION: Address: PropertyTax ID#: o�ip-�J 3(—a4>01,^ 006 -9 Lot No. ©� Site Plan. Name: Block No. Project Name: DETAILED DESCRIPTION OF WORK: �`Mr7c 1G (=Xl�J.I C-1 l 2�A-�r=�n � 17 � r fit= G 7►4L4 A��2\Zv, New Electrical Meter Second Electrical Meter l - CONSTRUCTION INFORMATION: 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: Ja-ppoi goon) Sq. Ft. of First Floor: Cost of Construction: $ ISC� Utilities: _Sewer _Septic Building Height: OWNER/LESSEE: CONTRACTOR:' Name: Address:s5,2/!5_ 44 tclo(L l _0 L Company: �. �c City: 17-71 (t� �E✓ C Stater[ T Address: r D6 l\(G I T(Q 2R t 2 Zip Code: _���7y Fax: City:L(z R Lc Stater Phone No.' Zip Code: '��lc'! �1 Fax: Phone No 7 7a—S'7?� I g� E- Ma' iil: Filf In fee -simple Title:Holder-on-next-oage { if different E-Mail ` — S M A-t 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. 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 is in Home Owners Association bylaws and covenants that may restrict or which conflict with any applicable rulesi 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.r_equested,permit, I do hereby -agree that I will; in. all respects;, perfa�m 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 commencingwork or recordiA Notice of Commencement: •6 ev. "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 TITLEHOLDER: Not Applicable BONDING COMPANY: • Not Applicable Name: i�-• - Address: Name: Address: - -• City: City: _ Zip: Phone: _ Zip: Phone: Signature• of Owner/ Lessee/Contractor as Agent for"Owner Signature of ontractor a er "' -- - • STATE OF FLORIDA. STATE OF. FLORIDA _ COUNTY OF COUNTY OF_�� Sworn to (or affirmed) and subscribed before me of Sworn r affirmed) and subscribed before me of Physical Presence or •• Online Notarization, -Physical Presence: or .Online Notarization .,, - , • this day of `°� .�2020.•by �> �. •, this•day of-�!''" 2020 by 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 Identifications Produced A Produced_ (.Signature of Notary Public- State of Florida) (Signature of Nota