Loading...
HomeMy WebLinkAboutBuilding Permit Applicationr All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number; 9 I ` v O RECEIVED Building Permit Application OCT 0 5 2021 Planning and Development Services St. Lucie Cod Building and Code Regulation Division Commercial ResidentiMarmitun —ey 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 C13DG Funding PERMIT APPLICATION FOR: PROPOSED IMPRQ.VEMENT"LOCATION.: Address: L Q S LI—+ Tr* _ Property Tax ID #: c7 —117 ` ooc) ©� Lot No. Site Plan Name: OshSe. �' r t- — 12(—AS 0r Block No. Project Name: D e-m O t O-C E� x I DETAILED D:ESCRI:PTIQN'OFVI/ORK P_Vh hV'0. " Q D 1. S D©a E x 1 q ObAP_ D Vf e 9d CP r- New Electrical Meter Second Electrical Meter— (Affidavit required) CONSTRUCTION LNF.ORMATIN Additional work to be performed under this permit — check all that apply Delm01 ,ox 0h Y _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: $ '2' 00 — Utilities: —Sewer _Septic Building Height: OWNER/LESSEECONTRACTOR Name Name: Add r ss: o s �' O Company: City: Drl -s+ Ll>Gfe /SState: r 1 Zip Code: Fax:7CF� 762- Z61 &lY Phone No. a 37o c7 6 E- Address: City: State: Zip Code: Fax: Phone No Mail C�. Chi2s�i'UG tG �- a C6 Fill in fee simple Title Holder on nex page (if different from the Owner listed above) E-Mail 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. AISCOhs4cuc, , onito v 0,-k 00 a Gom L I,SUPPLEMU NTAL CONSTRUCTION LIEN LAW fNFORMATION: DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable Name: _ Address: City; State: Zip: Phone FEE SIMPLE TITLE HOLDER: _ Not Applicable Name; Address: City: Zip: Phone: Name: Address: City: State: Zip: Phone: BONDING COMPANY: Not Applicable Name: _ Address: City: _ 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 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 the 'obsite before the first inspection. If you intend to obtain financing, consult witJ�nder or an attornev bef�,eommencine work or recording vnur Nntire of CnmmPnrPmPnt Signa r of Owner Less /Contrac r as Agent for Owner ST OF FLORIDA C UNTYOF JT L.uCIE Sworn to (or affir d) an ZPhysical subscribed before me of Presence or Online Notarization this —4 day of , 20,L1 by Name of pe on making statement. Personally Known __ OR Produced Identification Type f Identification roduced (Sig atur of Not ry Public State of Florida r Notary Public State of Florida Commission No. (Seal) ;� Kayla Short My Commission GG 252217 Expires 10/23/2022 of REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE -- RECEIVED _ DATE — - 1. COMPLETED