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HomeMy WebLinkAboutBuilding Permit Application A!!APPLICABLE ENt=Cf MUST BE COMPLETED FOR.APPUCATION To SE ACCEPTED Date:_ Permit Number: Building Permit Applica ion O C T 0 -� -021 Planning andOevefopmentSexvices: ST. Lucie County, P mining Bunting and Code=Regulation Division Gomm! Res[ elltla 2.3W Virginia Avenue,Fort Pierce FL 34982' Phone:(772)4G2-1553 Fax:(772)4G2-1578 CBDG Funding PERMIT APPLICATION FOR: -- •- PROPOSER ILiItP,�UVE1111,EI�T t.00A�ffON ' " ' '' � � `` ; x Address: 4,Q Property TaxD# � Q1 (oOQ' m0I(n' ©©C•L4....._ Lot No; Site Plan Name:: :Block No _ . Project Name.• aETAIL.ED©ESCRIPTION QF UttOftK• ,... Gtu zo 4 x New Electrical Meter Second Electrical Meter (Affidavit reguiredj ' CONSTRUCTIQNINF€�iRMATIaN 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.Ff.of First Floor. Cost of Construction: 00' Utilities: _Sewer _Septic Building Height: QilVNER/LESSEE, CORITRAC 'OR R Name Name; Address: 4 L Compan City 1oDCc StateFL Addre Zip Code: _ Fax: Cit�r, -_ • Phone No. , — � . E Zip-Code:- .Z - 34 oI"5 Fax:. State: . — mail: Phan N Flll in fee simple Ae Holder on next page(if different E-Mai from the.Owner listed above) State or County Lice se 'If value.of constructiplt.is ZS�D or more;a RECOR ED•Notice of Commencement is required.. If varne of 14AU•1c 47 SINi nr mnra a nFrnI*hM Iv^tiro,nf t,'nrnmani amen*ic,mnnirad SUPPLEMEI�TAt CCTNSTRUCTIt�N LlEhi LAW INFQR1UlATtO�I DE5IGNER/ENGINEER: x s _Not Applicable r MORTGAGE COMPANY: Name. _Not Applicable Address: Name: City: Address:. State: City: Zip: Phone State: - ZIp: Phorfe: FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMRANYc Name:: _Not Applicable Address: Name: City: Address: Zip: Phone: G ' Zip:__Phone: OWNER/CONTRACTOR AFFIDVIT-•Application is;hereby made to obtain a permit to do the work and-installation as indicated. Icertify that no work or installation has commenced.priorto the issuance of a permit St.Lucie County makes no representation that is which conflicts with an eppf�cable:Homeowners Assor rtoc ation rules,bylaws or and copermit n nts th temto bust the or subject structure ut structure..Please consult vuith your Homeowners Association and review your deed#or.any restrictions which ma apply. Inconsideration of the granting of Phis requested permit;l do hereby agree'#hat I will,.n all respects, y in accordance with the approved plans,the Florida t3uilding Codes and.St Lucie County Amendments.perform the work The foNowing.buildin - g . g permit appiiptions are exemptfrom unde am a full mnwrrency 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: Commencement may`result in paying twice for improvements.to our roe p y property.rty.A Notice of°Commencement must be recorded in the Public records of St. Lucie County and pasted-on the obsite:before the first inspection.,If you intend to obtain financing,consult With lender or an attorne before commencing work or.recordin ' our Notice of.Commencement. 4ignatureof Owner/L se& ntractor s ent fdr Owner STATE OF FLORIDA COUNTY OF S./- /I-,, r. Sworn:tx(or affirmed)and subscribed befor me of ►� Physical Presence or this day of T d�j%�y 201A by, Online Notarization. K:,lly Name of per on making statement Personally Known V l OR Produced Identification Type I en ratio P oduced Ott{tt{Illlyli)i (Signature of Notary Public-state of Flog 'Miss%•., ` rGOp3.o8.?O F�.w r Commission No:Gt(hgGG7fi�(seal N QTAF1 Lic ZONING � Oke REVIEWS FRONT i COUNTER REVIEW REVIEW R REt PLANS VEGETATION R VIEWON S REVIEW E MANGROVE, DATE REVIEW RECEIVED DATE COMPLETED, _ev