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HomeMy WebLinkAboutBuilding Permit AppSignedAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: - �cLi1, ,L Building Permit Application Planning and Development Services Building and Code Regulation pivision Commercial Residential X 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 CBDG Funding PERMIT APPLICATION FOR: PROPOSED IMPROVEMENT LOCATION: Address: I ZS45 sowtr► }n en n c � Property Tax ID #: q J 04 - 3'iQ,-- 00014-100 '� � � Lot No. Site Plana Name: Block No_ Project Name: DETAILED DESCRIPTION OF i' New Electrical Meter Second Electrical Meter (Affidavit required) CONSTRUCTION INFORMATION: 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: 23S'_; Sq. Ft. of First Floor: Cost of Construction: $ 1 12 . °'o Utilities: —Sewer —Septic Building Height: l OWNER/LESSEE; CONTRACTOR: Name `m Ciffl Name: Stp -) Ni co 1m5i Address: 2a f iV Y!V Company: I n /V R04 ' City: JeY1S[.U't BeaCI*] State: F� Zip Code: Fax: Phone No. -+7 114 1 - Cs1-I4 ` E- Address: ►,�Gi S�nF ��# City: '� 4 Se.2ir* l.tat!',''� Zip Code: q Phone No -7#2_ - ty-4-$- ��iin� >t.�tCie I yet State: 'Ff. Fax: ;11;b00 Mail: _ Fill in fee simple Title Holder on next page (if different from the Owner listed above) � E-Mail !�►1# f�d1�tV ei'S i�Sr � e� atria — C,6M State or County License If value of construction is 2500 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. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNERIENGINEER: �Nat Applicable MORTGAGE COMPANY: A, Not Applicable Name: Name: Add ress: Add Tess: City: State: Zip: Phone E City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: � Not Applicable BONDING COMPANY: Not Applicable Name: Hartle: ___ Address: 35�r} city_ Keens Nm Address: I City: Zip: Phone: Zip: 031431 Phone: Ls03'35f1- 135. OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated. € certify that no work or installation has commenced prior to the issuance of a permit. it. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure ,vhich conflicts with any. applicable Homeowners Association rules, bylaws or and covenants that may restrict or prohibit such Aructure. Please consult with your Homeowners Association and review your deed for any restrictions which may apply, n consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work n accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments. -he following building permit applications are exempt from undergoing a full concurrency review: room additions, iccessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use NARNING 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 fobsite before the first inspection. If you intend to obtain finanr-ino rnnct hit xr __ echs— . U[ dit dltL3rf11r oerore commencing wc�rK or recording your Notice of Commencement. Signature of Owner/ Lesse contraL.;tf as Agent for Owner STATE OF FLORIDA A COUNTY OF Sworn to (or affiTme ansubscribed before me of X Physical Presence or Vti this day of - z© by Name of person making statement. Personally Known d\ OR Produced Identification Type I identification Produced (Signature of [rotary Public- State of Florida) Commission No. V 112075 (seal) REVIEWS ' ti air CAROUN:1AE ELLERSNotary Publiof FloridaCommmsidt1ratsMy Comm. Exr 13, 2025Sanded through g otary AM. FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER I REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW Online Notarization