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HomeMy WebLinkAboutBuilding Permit Pkg All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: ] RECEIVED guo:Ll:tCl1L'- o OCT 0 7 2020 Building Permit Application st,WcleCounty Permitting Planning and Development Services Building and Code Regulation Division Commercial Residential 2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 CBDG Funding PERMIT APPLICATION FOR: ` fA'kf\1. i i ` YL PROPOSED IMPROVEMENT C.00ATIO[U: Property Tax ID#: �5z �PQ© ��d��'000 73 Lot No. Site Plan Name: Block No. Project Name: DETAILED Df=ASCRIPTION Of WORK: lJ X fR!C Cam(/ L dv Jefib ILW oi�X-Q '�'a E'-C6zz&' n ILI Vff Y�L New Electrical Meter Second Electrical eter (Affidavit required) ��YY1 'N P,�J CONSTRUCTION [NSA.ORMA lie N: 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. Ft.of First Floor: Cost of Construction:$ Utilities: —Sewer _Septic Building Height: OWN ER/LESSEE: CONTRACTOR: Name ��/ �� /J.� � Name: Address: 7S�1V6� (3� fX1A-� .// /�, L7��IQ3 Company: City: State:Z�if Address: Zip Code: Fax:- City: State: Phone No. 7 E- Zip Code: Fax: Mail: ` 'JS.���/ '1 Phone No Fill in fie Title Holder on next page (if different E-Mail from the Owner listed above) State or County License If value of construction is 2500 or more,a RECORDED Notice of Commencement is require If value of HAVC is$7,500 or more,a RECORDED Notice of Commencement is required. b(;A I M I: s 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 TITLE HOLDER: _Not Applicable BONDING COMPANY: ANot Applicable Name: SRGi5,4 SSE ( Name: Address:4247,s—1vgr,3C&�L7,n.J L U.� , '�1 �i Address: City: ~.�/1 _F[, City: Zip: Phone: �7�-�/65�';�j?'j�� 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 conflicts with any applicable Homeowners Association rules, bylaws or and covenants that may restrict or prohibit such structure. Please consult with your Homeowners 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 our Notice of Commencement. Signature of Owner/Lessee/Contractor as Agent for Owner STATE OF FLORIDA COUNTY OF Sworn to(or affirmed)and subscribed before me of Physical Presence or Online Notarization this day of ,20_by Name of person making statement. Personally Known OR Produced Identification Type of Identification Produced (Signature of Notary Public-State of Florida) Commission No. (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev 5/20/21 LEGEND DESCRIPTION p} R@SP�EWER WYICIRTI6 Ash w%AT BOOK e1.FKE 31.PUHID $j'j'b` EurG�mn'a® ...-- t•w.Ee[ 6TEPOIC BCAI.E '� � "'- a ��G dG■� ST. 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