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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �.(�` Date: Permit Number: I 0 low' V `y7 RECEIVED NOV 18 2021 o� - - Building Permit Application St.Lucie County Planning and Development Services Permitting Building and Code Regulation Division Commercial Residential 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 CBDG Funding PERMIT APPLICATION FOR: ,PROPOSED [IVIPR VEMENT LOCAT[ON:' Address:-2)-? fx i� Ocean Ink/e, -ti")15.Te.,nse4 [DCin,'PL : G1 Property Tax ID#: co c c©qg-cm- Lot No. Site Plan Name:bune 1r �k ?ivT4�C�cCAn c4iClo.5and brAlar 1Vp P�IG4a PStAnw "11�BIock No. Project Name: DETAILED DE'SCRI'PTI.ON�OF,WORk:'�,--,. New Electrical Meter Second Electrical Meter (Affidavit required) CONSTRUCTION INFORMATION r� 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: $ 51 W 603C� Utilities: _Sewer Septic Building Height: Ow N.ER/LESSEE CONTRACTOR: _e. Name - Name:._5�ekie r) MCC rS Address:l:�P'-O S•°QCeo0n-DAc. _7IIS Company:(_ me— r"Ex4eI orS City:use,) ewac, State: Address: l()2 'SMArk H Zip Coder'5_ Fax: City:( aKY:1.A}0Ckb ' State: FL Phone No. E- Zip Code: !,�;�(pc) Fax: 5 01- 5�92'750 Mail: Phone No_ S(ol- ba `Tsj m - Fill in fee simple Title Holder on next page (if different E-Mail k"-,VC�k c V%�-W%v"e e,*\-err jorS.r\4 from the Owner listed above) State or County LicenseCGC ,152_C 11A`2. If value of construction is 2560 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. SIPPLEMEt�TAL CC1NST,; MAT[Ci DESIGNER/ENGINEER: - _Not Applicable MORTGAGE COMPANY: _Not Applicable , Name:- Name: Address: Address: City: State: City: State: Zip: Phone Zip: Phone:_ FEE SIMPLE TITLE HOLDER_: _Not Applicable BONDING COMPANY: _Not Applicable Name: Name: Address: "Address: City: City: Zip: Phone: 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[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 the jobsite before the first inspection. If you intend to obtain.financing, consult with lender or an attorney before commencing work or recording our Notice of Commencement. 4z2z lt2 Si ture o ner esseRkontractor a Agent for Owner STATE OF FLORIDA COUNTY OF Sworn to(or affirmed')and subscribed before me of /Physical Presence or Online Notarization this day of kheMkr7tC 207-1 by Name of person making statement. KRYSTAL D.BERNTSEN Personally Known OR Produced Identification�_ r°• Notary Public:State of Florida 4Type of entificati Produced��. a e_ Commission#GG 269656'' My Comm.sxpires Oct 21,2022ded through National Notary Assn. at r of Notary Public-St ( f Florida) Commission No. (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE. MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW FRev TE , CEIVED TE MPLETED