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HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: II 2 7-I Permit Number: C� ® hs' Y_ 1, 0 l�- D ° � = Building Permit Application Planning and Development Services Building and Code Regulation Division Commercial Residential 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1575 PERMIT APPLICATION FOR: V1 H it 0% D ry PROPOSED IMPROVEMENT LOCATION' Address: 3�-7 i Property Tax ID #: 3,4 Q;j '3o!67—c_)osI�. © -0 Lot No. le4, Site Plan Name: Block No. � Project Name: DETAILED DESCRIPTION OF WORK: New Electrical Meter Second Electrical Meter CONSTRUCTION INFORMATION: Additional work to be performed under this permit- check all that apply: _Mechanical _ Gas Tank _ Gas Piping _ Shutters _Electric Y Plumbing _Sprinklers Total Sq. Ft of Construction:: Cost of Construction: $ t - ��KYc Generator _ Windows/Doors _ Pond Sq. Ft. of First Floor: _ Roof Pitch Utilities: —Sewer —Septic Building Height: OWNER/LESSEE: CONTRACTOR. �,//g� iYY•�Vrl��"� Name. - L3't'�•Y> i - -'�-y%ft � Address: 35-7 Imo, i� Corr�� 7 �t�� � � cl City: R)c �7_ YtdXzr_; V--� State: _ Zip Code: 9 2 Fax: Phone No. 17 - 9 q0 - 5-_5Qcj Address: City: E }. L iscAe Zip Code:_3495a Phone Nol`-J,_2-?S 7- Fax:i��-�v�� State: E-Mail: �j1N Fill in fee simple Title Holder on next page (if different from the Owner listed above} e-mail "g 7 G� _ 1Y)e-a-Kie State or County License CJ�C- } -iR UM It value of construction is 2-500 or more, a RECORDED Notice of Commencement is required. If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required. uc31unitK/tr4UINEER: _ Not Applicable Name: Address: City: State: Zip: Phone 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: -- .. --�Rv j4rriuv i i; 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 Counttyy makes no representation that is granting a permit will authorize the permit holder to build the subject structure which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such structure. Please consult with your Home Owners 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 thQpey�j�Iobsite before the first inspection. If you [ tend to obtain financing, consult Wit lencler or an ,attornev be€doe rnmmimnrina i"nrll nr rnrr.rr�iina �rr,aar of Owner/ Lessee ntractor as Agent for Owner STATE OF FLORIDA i STATE OF FLORIDA COUNTY OF sT LiCA e,, COUNTY OF S TLuC4 C-.11 SW o to (or affirmed) and subscribed before me of Physical Pres ncp or Online Notarization this Ek day of Chip 202# by • 4! .X Name of person making statement. Personally Known _ OR Produced identification Type of Identification Swop to (or affirmed) and subscribed before me of Physical Presence o Online Notarization this &WO day of 2024 by -MA41�� & r o-� Name of person making statement. I Personally Known OR Produced Identification Type of Identification (signature of Notary Pu LANE COLS - Signature of Notary Public- State of DFANE COL Notary -;F - Kota Commission No.�_ C� ='t State of Florist iY GG 961089 Commission No. Public - Stat Cr�anmeuionkGC, a iarida or Ay My Comm. Expires Mar 14, 2024 - MY Comm. Expires r , 2024 8-ded National N Assn. tiwot:gh National Assn REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE I MANGROVE ---- COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW