Loading...
HomeMy WebLinkAboutBuilding Permit Application 1-PLEASE UPDATEAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 12 13 / 2v21 Permit Number: 14 LUCE r 1s Building Permit Application Planning and Development Services Building and Code Regulation Division Commercial Residential 2300 Virginia Avenge, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 CBDG Funding PERMIT APPLICATION FOR: PROPOSED IMPROVEMENT LOCATION: Address: 6 312 DELEvAI Ave P16-cc PropertyTax lD #: tA,C /- 6/,4- 0()/2 -CW "2 Lot No. ! i Site Plan Name: Block No. 167 — Project Name: I DETAILED DESCRIPTION OF WORK: I is y ►. -.--=-�_- --- -�� - New Electrical Meter Second Electrical Meter (Affidavit required) CONSTRUCTION INFORMATION; AddiZe I work to be performed under this permit -check all that apply: chanical _ Gas Tank —Gas Piping _ Shutters V'Electric 4,ilumbing _ Sprinklers _ Generator Total Sq. Ft of Construction: g Cost of Construction: $ ISO _,7 .00 vWindows/Doors _ Pond Roof /Z Pitch Sq. Ft. of First Floor: Utilities: s/ Sewer _ Septic Building Height: - OWNER/LESSEE: CONTRACTOR: Name t LEA7AF_ AMADOi2 Name: 1 Fj2 eno Ay)ki__A Address: 1610 C0101U406 A116 Company: T14£' &t.;r0 /ZS ©r2AILTY City: FogT pJi_/2CE Stater Zip Code: 2,gq&Z _ Fax: _ Phone No. = 514' -6SG6 E- Address: IA16 Cooea UACO fur✓ City: Fir PlEilGE State: P=L Zip Code: 3 ggk2- Fax: Phone No :772-S/4r2116 Mail: Fill in fee simple Title Holder on next page (if different from the Owner listed above) E-Mail State or County License 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. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: Name: IZYAINI i-! \41n,2j3 Address: I6525 \/1A MEL-Amd City: C L AP'h;nA i T Zip: NgJI1 Phone !At57-q63-o474 _ Not Applicable C'T State: _. MORTGAGE COMPANY: ® Not Applicable Name: _ Address: City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: Name: _ Address: City: Zip: Phone: Not Applicable 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 any 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, 1 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 %Alith lonrlAr nr an attr)rnev hefore commencing work or recording vour Notice of Commencement. i of C tractor - or - Owner Builder as applicable LORI DA COUNTY OF ST • L_( (A E Sworn to (or affirmed) and subscribed before me of Physical Presence or Online Notarization this L3 day of QECEMigle fL 20 Z! by :MAARiJo AVALA j Name of person making statement. _ Personally Known OR Produced Identification Type of Id ratification Produced Q6t1UER i ►( EAISr - - Si ature of Notary PutolState of Florida) A" ZW81b Commission No. (Seal) _ Canm:HN13750 INy Commission Expina: June.3, 2025 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev 10 12 21