HomeMy WebLinkAboutbuilding permit All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
County
u Building Permit Application Perm
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax: (772)462-1578
PERMIT APPLICATION FOR:
Address: 144 U LEG W DS 1) R,
Property Tax ID#: '33Z7, '6®2, 000 0 000 Loot No.
Site Plan Name:eeSou��� T� Bloq �
Project Name:
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New Electrical Meter Second Electrical Meter (Affidavit required)
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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: ���r Sq. Ft.of First Floor:
Cost of Construction:$ p owl l,+l.! Utilities: —Sewer —Septic Building Height:
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Name 1AN SQUAYRITO Name: yBTft-etI P�6 ►y_
Address,661 9W LAlf-0 ME Company- ey yn-Au )mc,
City:W ST Lque State: PL Address:1W�F, L��bl U6Wa 1)IL
Zip Code:34955 Fax: City: W ST L OC State: FL,
Phone No. Zip Code: _30q93 Fax:
E-Mail: Phone No �Z ��' (9&
Fill in fee simple Title Holder on next page(if different E-Mail
from the Owner listed above) State or County License M 1450596
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.
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: Not Applicable
Name: ,t1 'Wt:-3a N Name:
Address: 1IST Address:
City: State: City: State:
Zip: Phone` — _6_e6_qp Zip: Phone:
FEE SIMPLE TITLE HOLDER: of 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.
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 Association 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 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 post"A on the jobsite before the first inspection. If you intend to obtain financing,consult
with le rider o an attQmey before coMmencing work or recording our Notice of Commencement.
I
,Signature of Owner/ ssee/Contractor as Agent for Owner E4.1%
Notary Public State of FloridaNichole AponteSTATE OF FLO DA'C Expires commission 024 983216
COUNTY OF J
Swor to(or affirm d subscribed be a me of ✓ Physical Presence or Online Notarization
this day of 20 by
Name of person making statement.
Personally Known OR Produced Identification
Type of Identification Produced
Y Ax
(Signature of Notary blic-State of Florida)
Commission No.Qr �
(Seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev5/20/21