HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE,GOMPLETED FOR APPLICATION TO BE ACCEPTED
' ahGEIVED
Date: Permit Number:
-
110 LC�• °_ �B y
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2360 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
Address: C
Property Tax ID#: 2=3 O5 6-00 1)0, 1)0",-,y-�
& Lot No.
Site Plan Name: Block No.
Project Name:
��.
low
_ W- W
.,�.a z,� _
e1C,_C G �V.� a
New Electrical Meter Second Electrical Meter (Affidavit required)
MIR; :�=
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:$` '1 Utilities: —Sewer —Septic. Building Height:
Name Name:
Address:) S z�_ _,CC\, Company:
City: ` ,`ire`, Stater Address:
Zip Code: Fax: City: State:
Phone No._ G\ C5� C�y1�� Zip Code: Fax:
E-Mail: Q' LLIN Phone No
Fill in fee simple Title Holder on next a e(if different E-Mail
from the Owner listed above) 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.
OF
DESIGNER/ENGINEER: _Not Applicable. MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not 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.
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 fors.
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 -
ith lender or an attorney before commencing work or recording our Notice of Commencement.
Si ur w er se ontractor as Agent for Owner
STATE OF FLO IDA
COUNTY-OF Sk L_UCAC
Sworn (or affirmed) and subscribed before me of V�Physical Presence or Online Notarization
this l day of 0:()17 20r_�y
Name of person making statement.
Personally Known OR Produced Identification
Type of Identification Produced
(Signature of Notary Public-S t of Florida)
Commission
r",PRY PVB� ELLEN VAUGHN,o_State of Florida-Notary Public
Commission # GG 270079�OF icy Commission Ex it
pq
r 2022
REVIEWS FRONT ��. Z0�NIG`-' 5 F" VISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev 5 2 21