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HomeMy WebLinkAboutBuilding Permit Application updated All APPLICABLE INFQ MUST BECOMPLETED FOR APPLICATION TO BE ACCEPTED Date; . w Permit.Number:. a 0Cr"3$_ Bu 'Iding Permifi:Application PlanNrig and Development Services: Building and Code Regulation Division. Commercial Retidential ,2300 Virginia Avenue,Fort Pierce FL.34982 Phone.(772)462-1553 Fax:(772)-4_62-15.7s CB`DG Funding- PERMIT APPLICATION FOR: PRt)f'OSED14�IPRQVEMEiT LOCATfC?N Address:, . q Ce0"0: 0 c e6,4i PropertyTax ID#: �{ G. L, aO cl' 5 )D 0 Q; tot No. Site Plan Named Project Name: to clril-cP , (L.o.0.v"1 DETAILED DESCEIPTION t3F WORK. : ' _ ati e AA t7 st:C Il t•i,e fro i e+'j: 1 '0 o f 'T i C u NeW Electrical Meter Second'Electricai Meter (Affidavitrequired) CCISTRt1CTION TNFORIVIATIQN ' Additional:work to be performed under this permit—check all that apply: _Mechanical —Gas Tank ^Gas Piping —Shutters _Windows/Doors' _Pond Electric. —Plumbing Sprinklers —Generator Roof Pitch. Total Sq.-Ft of Construction. Sq. Ft.of First Floor: Cost of Construction;.$ '0% 0' Utilities: _Sewer _Septic Building Height: r C OWNER/LESSEE. OIVTRACTOR ,.u.. -�.. . .- r . Name 11 �PF w l3ept '. Name L. ,1.ti L,o'V>jr e J`o 5' Address: 0.t,'+� Y Company: E.g�,ra�: c- t.es u�a ;v tza City; °S R-A S.e Vti � CA Ell �~ State: F_L. Address: 1,5 fa 0 +�� Zip Code: 3.'A Fax- City: �Ue'ti j P&JA la c, t State: Phone No E- Zip Code: . O Fax: Phone No' {S 1 ) iS F - f'.6 Mail; , Fill in fee simple Title Holder on next page(if different E=Mail cq ©� from the Owner listed above)` State or County t'icense. 'C 6£ if'value of construction 1s 2SWor rimlorej a RECOROEU N tice of Commencement is;.required.. If value of HAVC Is$7,SOO or more,a RECORDED Notice of Comnmencement is required. i. SEEPEIUIEj1tTALC,ONSTRUCT1QfU LtE�I lA1N lNF3RMATIQN �g e .� . . DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY:: Not Applicable. Name: Name:, Address: C►ty. :State City: State: Zip Phone Zip:: Phone: . FEE SIIMPLE TITLE HOLDER Not Applicable BONDING COMPANY:. Not Applicable Name: Name: Address: Address: ity. - Ci _ City;. Zip: . Phone: zip: Phone: OWNER/•CONTRACTOR AFFiDVIT:Application Is hereby made to obtain a permit to do the workand installation as indicated. II certify that no work or.installation has commenced peior.to the issuance of a perinit: St:Lucie County makes no representation that is granting:a,permit will-atithori a the permit holder to<build the:subject structure which conflicts with anyapplicable Homeowners Association rules,bylaws or and covenants that may restrict or prohibit such structure.Please consut�t with.your Homeowners.Assdciation and review Your.deed for any restriCtians which maya i ply. In`consideration of the granting of this requested permit,I do hereby agree that I will,in all:respecgs,perform the work in accordance with the approved plans,the Flori6tuilding Codes and St.Lucie County Amendments: The following building'permit applications are exernptfrorn undergoing.a:full:concurrency'reView;room.additions, accessary structures,swimming pools,fences,waiis,signs,screemrooms:and accessory.uses'to another non-residential use WARNING TO OWNER:Your failure to Record:a Notice of Commencement may result;in paying twlce for improvements-to your property.A Notice,of Commencement must.be recorded in the public records of St. Lucie County and.posted n the jobsite before the first inspectiion.If you intend to.obtain financing;consuit _With-lender or an attoWybef e commencing work,,or-recordin .our Notice.:oftommencement. Signature of-Own rt s eey ntractor as ;: or Owner STATE;OF FLORID COUNTY OF: t'MA j Swor to or affirme anrlSubscribed before me of P ysical Presence or Online Notarizationthi day of �'r 20.>1{ by. Name of per§on making statement. Personally Known OR P, Deed Identificatii n Type.ofidentifica rodu (s'sgnat a of Notary ,ublic-S.tja� orida}.. Commission No, r BealAm Notary Public State of Fi60da {, jGululiano D Cruz My commission HH 186157 Exp.10)1312025 REVIEWS FRONT ZONING SUPERVISOR' PLANS VEGETATION SEA.TURTLE MANGROVE COkiN'MR REVIEW REVIEW. REVIEW REVIEW REVIEW REVIEW DATE __. _. RECEIVED DATE COMPLETEl7 Rev