HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED g %�
Date: 'dIg1Zt Permit Number:
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Building Permit Application
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
RECEIVED
AUG 16 2021
St. Lucie County
Permitting
PERMIT APPLICATION FOR:
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Address: 306 Se-10r'+7,- (oa'k
PropertyTaxlD#: Lot No.
Site Plan Name: ecessi`q Block No.
Project Name: Pre. - , M e_
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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
Electric
Gas Tank
Plumbing
Total Sq. Ft of Construction: 7yo%%
Cost of Construction:. $
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—Gas Piping _ Shutters _ Windows/Doors _ Pond
Sprinklers _ Generator _ Roof Pitch
Sq. Ft. of First Floor:
Utilities: _Sewer 1/'Septic Building Height: l(o i
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Name Press., Corn 14G _yrti
00eia't `L)unsCa
Address: 7-(00o Ta rrc,cc 4,( Sr /'03
&mpany.: _SD'cai'(neaS f_:" GC-,W a� 61,1 r114:'nc Q !•�'s
City: Co 1_h f_ h".r State: AIG'"
Zip Code: 18'd 3 ( Fax:
Phone No.
Co
: Address: 792 �w''•� �'r� S 1
City: PorState: FL
Zip Code: 3 qgS3 Fax:
Phone No -7 "7 �5, 70 _'7g37
E-Mail:��vo yj e v,� � I �L n��
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail U0ccw) S o �- a� Corm _
State or County License CG C ( o L
If value of construction is 2500 or more, a RECORDED Notice of Commencement is requires.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
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DESIGNER/ENGINEER: _ Not Applicable
Name: Parpo in
lii� SIR N
MORTGAGE COMPANY: t Not Applicable
Name:
Address: a3
Address:
City: !'r•Qr•cc State: 1—�/—
Zip.: 399y.4 Phone rP?2—-9'7g —1i/-7Z
City: State: .
Zip: Phone:
FEE SIMPLE TITLE HOLDER: a-- Not Applicable
Name:
BONDING COMPANY: t—Not Applicable
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.
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 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 posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lender or an attornPv before commencing work or recording your Notice of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA�`
COUNTY OF k .L,
Sworn to (or affirm d) and subscribed befo e me of Physical Presence or Online Notarization
this day of 20_1 by
Name of person making statement.
Personally Known OR Produced Id
TypAcfIAlentifAptior, Produced _
Public -
Commission No.
Notary Public State of Florida
;alloy Christina Copi'land
+� ly Commission GC/ 937752
q4� Expires 01105/202,
REVIEWS FRONT. I ZONING
COUNTER REVIEW
DATE
RECEIVED
DATE
COMPLETED
SUPERVISOR I PLANS I VEGETATION I SEATURTLE I MANGROVE
REVIEW REVIEW REVIEW REVIEW REVIEW