HomeMy WebLinkAboutBybee permitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
{V�
� Building Permit Application
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
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address:
Property Tax ID #: _� /�a L
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
Lot No.
Block No.
New Electrical Meter Second Electrical Meter (Affidavit required)
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
_Mechanical i�p
as Tank _ Gas Piping _ Shutters — Windows/Doors _ Pond
_ Electric _ lumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $ W I�[
Sq. Ft. of First Floor:
Utilities: _ Sewer _ Septic Building Height:
OWNE ESSEE:
CONTRACTOR:
Name � � r
ame:Z--z
Address: ;J 11 %�
CompaCity:
Addres1 %Zip
State:{
Code:.QFax:
City:A State. -El
Phone No: E-
Zip Code: t ' 7 Fax:
Phone No , f
Mail:
Fill in fee simple Title Holder on next page (if different
E-Mail s , -C ° 600 VIA 6, 1' '
from the Owner listed above)
State or County License
1z t
— ...W.c' a vw MUM& vi winmencement is required.
If value of HAVC is S7,500 or more, a RECORDED Notice of Commencement is required.
I SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: _
Address:
City: _
Zip:
Phon
State:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
Not Applicable
State:
BONDING COMPANY: _Not Applicable
Name: _
Address:
City:
Zip:
Phone:
UWNtK/ GUNI KACTUK 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 conflicts with any applicable Homeowners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consu t with your Homeowners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, 1 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 attornev before commencinL)r work or recording vrn,r Nntira of Commanrampnt
ignat4r.1 Owner/ Lessee/ o tractor as Agent for Owner
STATE OF FLORIDAji' r
COUNTY OF_(�J�
Swor to.(or affirm d) and subscribed bef r me of Physical Presence or Online Notarization
thisday of all r 20by
,
Name of per aking statement.
rsonall OR Produced Identification
Type of Id tification roduced_
V14--\
ature of Notary Public St a of Florida)
,t -� �,�► LIBERTY A. KING
'/
Commission No. (fleV :+QrMY C OMMISSION # HH 120374
EXPIRES: May 4. 2025
''•l,OOR F��••• g�ded Thiu Notary FWe tllldin"M
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
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