The URL can be used to link to this page

Home My WebLink AboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: ' © ' ..... Zq 5 !=L`:�..'�`.::sL _.y M RECEIVED AUG 2 6 2021 Building Permit Application St L c Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: Address: % 706 0 1L Property Tax ID #: N Z Site Plan Name: /!(/ s S L / Project Name: - N 0 s Commercial CBDG Funding 41) z- 0443 - eoa ucie aunty Permitting Residential New Electrical Meter Second Electrical Meter (Affidavit required) Lot No. 2�7- Block No. q% 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: / i A Sq. Ft. of First Floor: Cost of Construction:: $ _ 71 S, Oop Utilities: _ Sewer _ Septic Building Height: 'OLOTI'IA.TVi1 `a'`'z Name S DtO� Name: Company: as sec Address: 6, / 0 0 City: r' , / Statef—L Address: 1fi OMl`/o/y /,92 (f ZO Zip Code: Y5' 6 Fax: City: I/t-'tid �J/rilOGd, State: %/ Phone No. %'7 L 3 3 '3 3 E- ' Zip Code: '3Z f G t Fax: Niail: ��15hAPl�rZySLdL►� �Z�i4 �y�1i10/L dff�M Phone No V Z Fill in fee simple Title Holder, on next page (if different E-Mail '0j01/k (g 0/PAW Am PS • cc-, from the Owner listed above) State or County License ,e 13L / Z 5!� / g ,,,V,C, a nruunucu rvouce or commencement is required. If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required. �iYiY,T�iiz CTlE)N` LJIE SR��i a n� �.,i�i�r g sL'S.�. oS! .,z., ��H u'�.„Y''SZ_,,.�.., DESIGNER/ENGINEER: Not Applicable ::4 n.s£�,a•�F-^rf"_�,z��'�«:..v.tF.xz+�YY�°', ..; Name: MORTGAGE COMPANY: Not Applicable o hn ,/t. /i✓G Name: dress: Address: �vr'�t �.� P city: City: State: Zip: x 6,o Phone_ -72 Z .S 5 f 341 �; Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: Applicable Name: Name: _Not Address: Address: City: City: Zip Phone: Zip; Phone.: AL7wIrn./ /�A�tTw a v VV1MX; a/ %-VIM 1 M144-1 UK AM-IIJVI1 : 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 consu t 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 Counnd posted on the jobsite before the first inspection. If you intend to obtain financing, consult with len r r an atWrnevbefnrp rr;mmonrinuMin rU .,.. - -- . C .��,..I I Pr2 yuu, i 1.vn.iineIILtfnen-L. Signatu`r Owner/ Lessee JCo tractor as. Agent for Owner J STATE OF FLORIDA S��U COUNTY OF Swor to (or affir%d)andsubscribec1bZTmeof this ,Physical Presence or Online Notarization day of 2—by l I 1 Name of person making statement. Personally Known `// OR Produce Identification Type of Identifi2atio roduced i (Signature of Notary Public- State of orida) I Commission No. (Seat) ,,��,, KAREN S. NIELSEN . �^State of Florida -Notary Public#k W Commission GG 207484 9'O„�0+, ",` My Commission Expires June "12, 2022 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE - COMPLETED ev -