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HomeMy WebLinkAboutBuilding Permit ApplicationNI All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED' Date: -1 -1 L�-/I • 1 Permit Number: � 1 I ®^ C I �O RECEIVED c§ llo DUCE p"R r ` ®. Planning and Development Services Building and Code Regulation Division Commercial 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: Address: Property Tax ID i Site Plan Name: Project Name: _ `/0 slued s New Electrical Meter Second Electrical Meter OCT 0 4 2021 BuildingPermit A lication St. Lucie County p p Permitting K Residential 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 D� Total Sq. Ft of Construction: 5��0, Sq. Ft. of First Floor: ur Cost of Construction: $ s 7 5 — Utilities: —Sewer _Septic Building Height: EOIIVNER LES,EE ' a CONTRACTOR , . rw . f. dVam e C .,, . Name G©�,. Wf it la -t-15 :Address'"''`%'/ \.'h.:liaynC'f��K �.�J' :-,+:Company,:-".G'!l'c�trt�,� Address: `' 3'3'R .Sv n r i sz City: State: L" ` Code r' °: ` Fax: .City:,. � Ali4 State: /(- Phone No. 3 75' Zip Code:Fax: Phone No E-Mail: Fill in fee simple Title Holder on next page ( if different E-Mail State or County License G 9C /2 S 5-9Yg- from the Owner listed above) If value of construction is 2500 or more. a RECORDED Notice of Commencement is reouired. If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required. DESIGNER/ENGINEER:-, _ Not Applicable Name: Address: City: State: Zip: ;Phone FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: Address: City: Zip: Phone: MORTGAGE COMPANY: Name: Address: Citv: Zip: Phone:. Not Applicable State: BONDING COMPANY: Not Applicable Name:_ Address: City: Zip: Phone: r11A/NFR/ rr1NTR,&rTf1P arpinvIT• Annlirntinn is harahv rriar(e�a.nhtain a nermif 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 is in conflict with any applicable Home Owners Asso"ciaition 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 reques'tetl permit,4l do hereby�agree"th`af I will, in'.alPrespects, perform'the work in accordance with the approved plans, the Florida Building Codes and -St Lucie Count Amendments. The following building permit applications are exempt from undergoing a full coricurrency.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 lanriar nr an attnrnev before commencine work or recording vour Notice of Commencement. Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STACOUNTY FLORIDA OFORIDA 7.1 ` �G,e COUNTSTATEY OF4zi—, LL)c� Sworn to (or affirmed) and subscribed before me of Sworn to (or affirmed) and subscribed before me of ,�"`­Ph sical Presence or Online Notarization Physical Presence or Online Notarization by This /5day of , 202$ by thisday of 2020 Name of person making statement. Name of person making statement. Personally Knowny OR Produced Identification Personally Known _y OR Produced Identification Type of Identification Type of Identification Produced Produced p n (Signature of otary Public- State of Florid e f Notary Public-'., ' No; try Public State of Florida Notary Public Stall Commission No. q ) GDrawdy Florida MM a G ixawdr C01t1mis 'on No.�(misstonGG292565 • ' My CCoommisslon GG 925a5 � Exp;re>3 0211112023 Do A Expires 02111120, REVIEWS FRONT ZO ING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 5/b/20