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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: j L—Z�I ' �( Permit Number: - Building Permit Application Planning and Development Services Building and Cade Regulation Division Commercial Residential X 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 CBDG Funding PERMIT APPLICATION FOR: PROPOSED IMPROVEMENT LOCATION: Address:S t Property Tax ID # 3VO 6Ol -- oos-V- ©Oa —3 Site Plan Name: Project Name: 3e r { �_s DETAILED DESCRIPTION OF WORK: Lot No. Block No. L, 3 riV it t/ 7- New Electrical Meter Second Electrical Meter (Affidavit required) CONSTRUCTION INFORMATION: 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 tY � L-3 Utilities: _Sewer _Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name r�� 1y!� _ Name: t X_+_ S Address:e�Lt' _>j C _, p any: Q ,._ City: v�: iv_tu_ State:FL Zip Code:.3g19 L Fax: Phone No.' I L - S Z_I D L E- — Address:32,3l se �- L. City: SfJ State Zip Code; "-[ cff �7 Fax: Phone No 7'� Z '7$ ( Mail. Fill in fee simple Title Holder on next page (if different from the Owner listed above) E-Mail-:7� -Fa A'�' ob (60 . IA uS , L C> rn State or County License Va U"_ UL LU[Is4rucaion is t:)vv or more, a KtLUKUtU Notice of Commencement is required. If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: I DESIGNS Name: _ Address: City: Zip: Phon FEE SIMPLE TITLE HOLDER: Name: _ Address: City: Zip: Phone: Not Applicable MORTGAGE COMPANY: Not Applicable Name: Add ress: State: City: State: Zip: Phone: _Clot Applicable I 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 an 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 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. Signature of ntractor - or - Owner Builder as applicable STATE OF FLORIDA COUNTY OF PV" i -\ Sworn to (or affirmed) and su scribed before me of Physical Presence or Online Notarization 7_1 this day of 2024 by Cor �-;s � r, Name of person making statement. Personally Known K OR Produced Identification Type o,f. ntification Produced (SigQ ture of Not Public -State of Florida) ;fit ems., JOSEPH BADINI �ff Commission No. �'_ T�/(Seal)A-'V *. INYC©M118SION1€GG274212 mr• EXPIRES, November 2S,2M r: ;aP•` gofided TW Notary PUbrt. Undemlers REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev 1V/11/11