HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONr � ✓
All APPLICABLE INFO MUST BE;C.OMPLETED;FO.R APPLICATION TQ- E,ACCEPTED'
Date: Permit Number: w_ Q E) i
cJio IL ��. RECEIVED
h h..
:. r AUG 30 2021
auilding Perrnit Application
Planning,and Development Services St. Lucie County
Permitting
Building'andCode Regulation.Division? C011 mercial �/ Residenti'al
2300 Virginia Avenue, Fort P.iercefC 34982
Phone: (7.72)462-1553 Fm.(772,)46245;78: CBD\G Funding_
PERMIT APPLICATION FOR:
PROPOED IPR�M
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Address � G fit"_.
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Property Tax ID # III J�/J' �=2 91: C Lot -No,
Site: Plan. Name: Block. No.
Project Name: A/a 141. W &th uAD fill' '7 -&T1,LIz sly
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New Electrical Meter Second Electrical Meter (Affidavit required)
Add tiona] work -to be performed under this permit— check all that apply:
Mechanical Gas'Tanit: Gas Piplrg Shutters Pond
_ .—.Windows/Doors
`
Electric zPlumbing _..Sprinklers ! Generator, Roof Pitch
Total Sq..Ft,of Construction: Sq. Ft. of First. Floor.:;
Cost of Construction:, $ T 0.. Utilities: _Sewer _ Septic 'Building Height
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Address: SST N ?.
Company:..,
City: SL 2 G_ .. State:,,
Addres/s�. ; C>,'V 105
ZipCode: Fax;
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City:
. _
!�i lf! �° f7.�L��'�'�G�Z State:
Phone No. 'E-
Zip Code% Fax.
Phone No
Mail: .S &—LL = u... 0 CO &J
Fill in fee simple Title Holder on 140 page (if,different
E-Mail Y C` ' r . p , ..
State or County License e4FC a '`7
from the Owner listed above)
If value of'eon`sfruction is 2500 or more, a RECORDED Notice of Commencement Is'required.
If value of HAVC is $7,500 or more, a RECORDED Notice'of Qommencement.is required.
Name:
Address:
City: State .
Zip: Phone.
FEE:SIMPLE TITLE HOL®ER _ Not Applicable
Name:
Address:
,City -
zip: Phone:.
MORTGAGE COMPANYs _ Not Applicable
Name,
Address:
Cityc: State:
Zip ,Phone:
BONDING;COMPANY: _Not.Applicable,
:Name:
Address:
City:
Zip: Ph'one:.
OWNER/ CONTRACTOR AFFIDVIT: Applicationis'hereby made to obtain a peerriit-to dothe-workand installation as indicated.
(;certify that no, work or installation has commenced pr� oeto the.issuance of.a permit.
St. Lucie County makes no representation that is granting a,permit will authorize the-permltholder to build the subject structure
which confl.ictswrth an' applicable Homeowners Association rules,. bylaws or and covenants that may,restrict or prohibit.such
structure. Please consullt with your, HoMeowners!Association and review your deed for any restrictions which may:apply.
In conslderation of the granting of this requested permit,;) do hereiay agree that 6will, in all. respects; perform the work
in accotdancemith ved the;approplansthe Florida Building Codes:and St Lucie County,Amendments>
The foilowing building permit appl.ications are exempt from undergoing a full concurrency review: room: additions,
accessorystructures, swimming pools, fenceswalls, 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 jabsite before the first inspection. If you intend to,obtain financing, consult,
Wltb lender or an attornev beforecommencing work or. recordinrr vonr NrntirP. of Cnmmoncpmwnt.
nature of O , er/ _ssee/Contractor a .A ntTf' is0 e v
STATE OF FLORMAa
COUNTY OF '. c) - LOCI _P
Sworn to (or aaffiirrhed) and -subscribedbefore°me.'of � Physical Presence of, Online Notarization
this day of_Az; n c4- 20� by`
Jilt �la'�meTof perX"so 'irraking-st'„"" ,ter erit'�
Personally Known _ OR Produced: identification
Type of Identification Produced
I
``(signature -of Notary-Pti$lic�ia e"""of. Florida)'
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Commission No. (Seal)
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REVIEWS
FRONT
ZONING_
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
RE) I - I'
DATE
RECEIVED
DATE.
COMPLETED'
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