Loading...
HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: ly'��- - / _ Permit Number: 9,n LuaL f� �; I i l? 1 c: B' E L' `� �� Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial CBDG Funding Residential }/ PERMIT APPLICATION FOR: [/Iambi n cl PROPOSED IMPROVEMENT LOCATION: Address: c7-U L A & Vl� L rri M3 o f 5f I-u0;5 3Y9-5a Property Tax ID #: -3 qZ o " 15 J 0l -QQd` Lot No. Site Plan Name:: Block No. Project Name: DETAILED DESCRIPTION OF WORK: L,�tee 30 4, e sec -i'c tiles er e� er ar i e New Electrical Meter Second Electrical Meter CONSTRUCTION INFORMATION: (Affidavit required) Additional work to be performed under this permit -check all that apply: _Mechanical ' _ Gas Tank _ Gas Piping Shutters — Windows/Doors Pond Electric V/ Plumbing _ Sprinklers _ Generator _ Roof Pitch Total Sq. Ft of Construction: Cost of Construction: $ Sq. Ft. of First Floor: Utilities: Sewer _Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name / cnt Name: -Gary W Zanalb Address:a LA e V 571w /411 /f 3 Company: Drf 5 L- if Lf City: s�- State:% Address: 007 Heritage Dr Zip Coder ���J � Fax: City: -Fort it ��l� ... State. : FL Phone No. Z72 O - f7625 E- Zip Code:. q57;. Fax: Mail- Phone No 7,7 5c? `� Fill in fee simple Tide Holder on next page (if different E-Mail Wrf tXie D I am bi i . c oK from the Owner listed above) State or County License ' C-FC, osig a? 5 it value or consiructton is zbuu or more, a KELUMMU n0ime Oi commencement is required. If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required. I SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: I DESIGNER/ENGINEER: Not Applicable Name: _ Address: City: Zip: Phan State: FEE SIMPLE TITLE HOLDER: Not Applicable Name: Address: City: Zip: Phone: MORTGAGE COMPANY: Not Applicable Name: Address: City: State: Zip: Phone: BONDING COMPANY: Not Applicable Name: _ Address: City: 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 accordancewith 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. ,,, '(UVV'&64 Signat r f .Ovirwferl Les e/Contractor as Agent for Owner STATE OF FLORIDA � 5T, LtcI e, COUNTY OF Sworn before +� Physical Presence Online Notarization to (or affirmed) nd subscribed me of or this ( dayof 2071 by e Y h IZG4 in P d j /d .,. Name of p4rson making statement. Personally Known V OR Produced identification Type of Identification Produced Amzi& (Signature of Notary Pu ic- State of Florida) WWROW DWI oN�A•� Commission No.66-3 4 0,4 (Seal) �G ,d26, 2W ft AM No" 011BMW REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev 5/20/21