HomeMy WebLinkAboutBuilding Permit ApplicationAPPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number: 0! ' 006
CA C�'. y
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
Residential
Address:790Sail 6dar Dr. Awf ?,.e.-cw F&I ?//�J'/
Property Tax ID #: 1201 - 401- 0138 - ado - i? Lot No_ Cho
Site Plan Name: 7t-f_08' Jt,, �%S A-, Block No. O
Project Name: ' V[a �t 9266
New Electrical Meter( Second Electrical Meter.
Additional work to be performed under this permit- check all that apply:
_Mechanical _ Gas Tank _ Gas Piping
Electric )C Plumbing X Sprinklers
Total Sq. Ft of Construction: I76'r
Cost of Construction: $ 1 90"a-&0 Utilitie
Na
City: u fiz- , / Stater
Zip Code: 3YY rJ Fax: -
Phone No.. `a?,� q 7 f y87}
E-Mail: 6 U,',, P_/a V1ao1.11c
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
(Affidavit required)
— Shutters A- Windows/Doors _ Pond
Generator Roof Pitch
Sq. Ft. of First Floor: 1-7 &J "
s: _Sewer X Septic Building Height: to It
Name: Vlac( SleW IS"" Kik es'ccA
Company:'I&v40y, Agud 20d d&WAQ0e01
Address:Zw6 Fy,4 eetyr, J?t,,d
City: Fy4 e;etcc Stater
Zip Code: 3 yq.S-j Fax:
Phone No 7%1- q71 GIY-&:
E-Mail &&co 11 ad •11G
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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DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY:
e�— Not Applicable
Name: FL! c" N, S✓Ylith
Name:
Address:
Address: (! Mei
City: Ve 2 oebe A State: ocL
City:
State:
Zip: Phone 77c-d—,1-4 3691-F
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY:
YNot 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.
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, 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
%Antlk Icnrlcr nr nn mttnrnav hAfnrp rnmrnanrino wnrk nr rPcnrdinL7 vour Notice of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORID
COUNTY OF Jphysical Online Notarization
Swor (or affir ) a d subs ribe before me of Presence or
thi da 'of 2021 by
Name of person making sta emen .
ced )de tificati n6\1
sonally Knownvgbp
tV
( ' n re of Not ry ubli,ci SStt�attTe f Flori da)
` Z P&DANIELLE B. JEWELL
Commission No. (—�` Seal ;ioMU
Notary Public - State of Florida
Commission N GG 937394
°F My Comm. Expires Dec 5, 2023
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Itev 5/26/21