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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Permit Number: Date: Building Permit Application Planning and Development Services y Building and Code Regulation Division Commercial Residential 2300 Virginia Avenue, Fart Pierce Ft 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 CBDG Funding PERMIT APPLICATION FOR: Ou v?,�-; w Address,.. (^A,VI ©t(1 �0 � ri -.- 15 '" b 662 , Q 60 Lot No. Property Tax ID #:_ Block No. Site Plan Name: Project Name: K'R ��:, y� r t✓ i�. '� 9 J (� New Electrical Meter Second Electrical Meter (Affidavit required) 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: S Sq. Ft. of First Floor: g Cost of Construction. 006 Utilities: Sewer —Septic Building Height: Name r Name: l f-e y t L) ✓1 e-Z Address: & i a'4/07 Company: ►� o r© U P-e� :1:V1 C City: 7--'t (a {ACC - State: Address: E LI, &0 V0 Zip Code: Fax City: _ state F1 Phone No. E- Zip Code: Fax: Mail: Phone No l Fill in fee simple Title Holder on next page (if different E-Mail prp ro ok_.r[ Cp from the Owner lasted above) State or C unty 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. M `.�, g�j.a4'� _ %MORTGAGE DESIGNER/ENGINEER: Nat Applicable COMPANY: Nat Applicable Name• Name: Address: Address: City: State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: Not Applicable 4—Name: BONDING COMPANY: Not Applicable Name: Address: City: Address: 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 ranting a permit will authorize the permit holder to build the subject structure which conflicts with an applicable HomeownersAssociationrules, 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, wails, 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 haying twice for improvements to your property. A Notice of Commencement must be recorded in the public records of St. Lucie CountyAnd posted on the jobsite before the first inspection. If you intend to obtain financing, consult ;4-k Ian,4or r tin n#nrnnkt inafnro rnmmanrina wnrk nr rprnrriin€F vntlr NotirP_ of Commencement. yuuj Ciistal Nunez Sign ature of c tractor - or - Dwn r uilder as applicable' Comm.HH015160 • Oct. 242024 STATE OF FLORIDA �� BoE ThN Aa6 Notary COUNTY OF -J�1►k�(-� Sworn to (or affirmed) and subscribed before me of Physical Presence or Online Notarization this day of :JOAA- 20!!#Y Name of person making statement, Personally Known OR Produced Identification e de Typifi tion Pr duced !��z (SI n ure &fotdry u lic- StW of Florida) Commission No. AA0I I� 190 (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED KeV 1U11L1Z1