HomeMy WebLinkAboutBUILDING PERMIT APPLICATION I
All APPLICABLE -NFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Z_ Permit Number: a`a1 POD�8
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JAN 0 7 2022
p St.Lucie Count
= ° °p _ Building Permit Application I Permitting y
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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 CBDG Funding
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PERMIT APPLICATION FOR: p oofi
,r'PROPOSED IMPRQVEf1/IENT LQCATIQN ,..u, ,
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Address:
Property Tax ID �oti'dtl%9 0 oo-a
Lot No.
Site Plan Name: Block No.
Project Name:
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DL-TAILED,DESCRIPTION`�OF UVORK
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New Electrical Meter Second Electrical Meter (Affidavit requi red)
CONSTRUCTION INFORMATION '
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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: $ / D �C' Utilities: —Sewer _Septic Building Height:
01NNER/LESSEE '` 4 , ° , CONTRA TQ� a�
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Name L Name:
Address:6/01 S(J S� 1' O Company:
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City: d' 1 t-R-Ge- State: Address:
Zip Code: 7/ Fax: City: i State:
Phone No. S/S -`7 9 Q 17, E- Zip Code: Fax:
Mail: Phone No
Fill in fee simple Title Holder on next page(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.
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�UPP�LE1 I ,NTAL CONSTRUCTION LIEN`LAW'INFORMATION" '
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DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: Name:
Address: Address:
City: State: City: I I State:
Zip: Phone Zip: Phone: I
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FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address: I
City: City: I
Zip: Phone: Zip: Phone:
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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 Ibuild 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, 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 le/nd� r or an a before commencingwork or recordingour Notice of Commencement.
Signa u ntracto - r-Owner Builder as applicable
STATE OF FLORI A j
COUNTY OF 6-Y . %-v c �2
Sworn to(or affirmed)and subscribed before me of Physical Presence or Online Notarization
this day of _Z4 r. 20a^by
'CC hc- ZIT\4
Name of person making statement.
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Personally Known OR Produced Identification
Type of Identification Produced rb. ]b ,
(Signature of Notary blic-S Ana pEANNA�IVE
Notary Public State of Florida
Commission No. Commission>*N>i OS63,2
o MY Comm•Expires Jan 28025 i
Bonded throng F` h National Notary Assn:
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE j
RECEIVED
DATE '�
COMPLETED
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