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HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE CdMPLETED FOR APPLICATION TO BE ACCEPTED' (� Date: �V 0 �t) v `tO gpx Permi Nu be� -C �`� .Q C,o �► jb Y d 1�S RECEIVED IF I IL°TJ ©C, JUN 17 2021 Building Permit Application St. Lucie County Planning and Development Services Permitting Building and Code Regulation Division Commercial Residential 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 �uf PERMIT APPLICATION FOR: (� L PROPOSED IMPROVEMENT LOCATION: Address: D L 1Lmes�I U Property Tax ID #: �53 2,1' Lot No.33 Site Plan Name: RES CLUE f9t-A-106 066 P/t/615-TrA LOT 33 Block No. Project Name: S `I QC51 D V-MCE .,DETAILED DESCRIPTION OF WORK: 4 B-n-) zoo tit. f s f'3,kPt-i2 P— New Electrical Meter _ Second Electrical Meter ;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 1 XSprinklers Generator Roof Pitch Total Sq. Ft of Construction: 53a // Sq. Ft. of First Floor: 53,2L-10yr1t, Cost of Construction: $ r'7 0 rODa Utilities: _ Sewer '�,_ Septic Building Height: 1918' OWNERAESSEE: CONTRACTOR: NameCUM15 jkSAl. Name: CATR� I ELt6C— Company: (JU 1 L06jES Address:'1q51P PL61i L*rlf5 Z4_ , City: P6ei &' WCtr State: Zip Code: 51q3U Fax: Phone No. Address: 06UL0 SPi✓NDJ11-21r-1— City: PO e J i T LP,� Zip Code: 34Q so Fax: Phone Nnno (772) 1-/v-AJl State: E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail State or County License) 5 2Z I5 If value of construction is 2500 or more, a RECORDED Notice of Commencement is required. If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRa7CTION L.I`EN LAW IN.PoWATION t DESIGNER/ENGINEER: Name "izl - DES• _ Not Applicable L Vueavq MORTGAGE COMPANY: Name:MID- _ Not Ap li able I,{010V1(_VtU 1 Address: � /3$ S EA( 2A 411C Address: JQQq City: Zip: 3 3 S , /-LQ21 Phone: A . G p AIt Cl- D State: f( 7Z Zoo-2.2-29 City: [w TWIT State: Ft. Zip: Phone 7/-aq57 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. 9"_ _0A�J_ � Signature of Owner/ Lessee/Contractor as Agent for Owner ,A Signature of Co ractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF COUNTY OF ' • Sworn to (or affirmed) and subscribed before me of Swto (or affirmed) and subscribed before me of or Physical Presence or Online Notarization Physical Pre ence or Online Notarization this day of 2020 by this j-l_- day of 2020 by i N r_-L Name of person making statement. Name of per on making statement. Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of (dent' ation Produced Produced (Signature of Notary Public- State of Florida) (Signature o / Y P KA R E N S. N I E L5 E N G,State Commission No. (Seal) of Florida Not b�ic Commission .- *_ ion # GG 4,11,'"0F,My Commission Expires r` �F June 12 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev. 5/6/20