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HomeMy WebLinkAboutBUILDING PERMIT APPLICATION All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 1 1 ao --Permit Number: a4 -a 15.E Mo L�I�S�Q Y 1' RECEIVED o Wit, BAN Q 7 20-2 p " Building Permit Application #: UcieCounty Planning and Development Services �` ItiH?� 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: / 0 L .t ?s @ 5'i�3 T d ! { J 'ft00$ED IIUIP`ROVEMEN LOCATIQN Address:3-1 S b kizo cw A L F(r ' Property Tax I D#: Lot No. Site Plan Name:—ri ara— TO W P_r'.S QU-N i Block No. ' Project Name.11i + , Leicn N�#�- r : ��•-e�.,'.r.�,� tr..�,x�r ,„"m.T-�.€. ., ,'�,�:eC,m.�....�.r,r1,- a . :� -a,-.�.... .,a..�t �- ` `. Mmcf dDD S New Electrical Meter Second Electrical Meter i 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: a Cost of Construction: $ ��© jZ _ � Utilities: —Sewer —Septic Building Height: flW1ERfLESSEE �f CUNTRACT©R5=�t "3 ��_ ,<. Nam �._, A (�7ame:Steve'Mea Addres':c 3 ` y OS Company:Lifetime Exteriors' City: ir1��� ' l[1� State:�� Addfess:102 South F St I � FIFa ke;urh>Zip Code: ay State: Phone No. Zip Code: 33460 Fax: 561-582-7505 E-Mail: Phone No561-533-8700 Fill in fee simple Title Holder on next page(if different E-Mail Krystal@Lifetimeexteriors.net from the Owner listed above) State or County License CGC1529442 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 CONSTRU �ION LIENLAWINFORMATION y 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 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. �J/ r fSATE r .of ner/Lessee/Con actor as gen Ow r Signature of Contractor/Lic nse Holder OF FLORID �l STATE OF FLORIDTY OF lLG{ 'Jl/ l/�Li COUNTY OF �o(or affirmed)and subscribed before me of S o n to(or affirmed)and subscribed before me of ysical Pr ence or Online Notarization Physical Presence or Online Notarization• this day of 202r(� by this day ofpg_j � 2021 by v y6r dl�C�L '��ti t Name of per on making st em t. Name of person making stat ent. Pe onally ow _" OR roduced Identification Per nally K ow )4 OR Pro uced Identification pe of Ide if do T pe of Ide ifi ation roduced�•l roduced lJ (Sign ure of otary Publ FloridaipHN M,FERRICK /6mnm" ture of to u ' Late of Rta44a yERRICK Notary Public.State of Florida ' Notary Public•State of Florida C �r�,I lon#HH 127892 ` Commissi 1� I�127892 Co fission o. �; � f ission o. ';, ;_ My CblffrfP Expires Aug 26,2025 Comm.Ex�lrl�� S 26,2025 Bonded through National Notary Assn. Bonded through National,Notary Assn. REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW . DATE RECEIVED DATE COMPLETED ev.