HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
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Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Commercial Residential
LPROPOSED IMPROVEMENT LOCATION:
Address: l i q Ocut--c—n Arw) C+,
Property Tax ID Lf I az CQ& - Lot No.
Site Plan Name:
Block No.
Project Name:
e__ -26, (
New Electrical Meter Second Electrical Meter
I CONSTRUCTION INFORMATION:
Additional work to be performed under this permit- check all that apply:
—Mechanical Gas Tank Gas Piping Shutters Windows/ ours Pond
Electric Plumbing Sprinklers Generator Roof Pitch
Total Sq. Ft of Construction: 51 Z 9 Sq. Ft. of First Floor:
Cost of Construction: $ (017 lqf. co Utilities: —Sewer —Septic Building Height:
Name ma) 110AUVROL
Address: IL4 tcw-)
City:
Ci� - -, A- ��J Cl StateJ
Zip Code: 31q49 Fax:
Phone No.
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR:
Name: (_:CtrnC
Company:ffaud PMJV�v
Address: 55q 5C S . /L) I etyLW,
City: I I - I . State: 1J
Zip Code: 54::5 Z Fax:
Phone No
E-Mail vim
State or County License 7(7 z �702&
If value of construction is 2500 or more, a RECORDED Notice of Commencementisrequired.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
I F%Plit, I UK ArrlLJVI 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 Count makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conwilct with any applicable Home Owners Association rules, bylaws or ancovenants, 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 perm -nit 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 1erAer_or_an__a_ttoney before commencing work or recording your Notice of Commencement,
nature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF
S\Alo o (or affirmed) and subscribed before me of
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this- day of rwt�l I�` _ 2020 by
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Name of person making statement,
Per fly Known OR Produced Identification
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Type of I ntification
Produ ed
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gnature f Notar P blic- State of orI
(Signature N a P bli State of F id
Commission No.
DATE
RECEIVED
DATE
COMPLETED
Signature of Contracto-UL—icense Holder
STATE OF FLORIDA
COUNTY OF
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Swor affirmed) and subscribed before me of
<'rio'r.1EPresncef r fiAM Online Notarization
Thisk d'a V n f
,N-arne of person making statem
P rsoria Known Or, Produced Identification
Type of ntificaQn7__ in
Notary Public �j'ate of Florida
Pamela Jone
My COMMISSIG
Expires 06/151 024
State of Florida )
SUPERVISOR I PLANS VEGETATION SEAf'
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REVIEW REVIEW REVIEW REVI
Notary Public State
Pamela Jones