Loading...
HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO Date: BE ACCEPTED Permit Number: Planning and Development services Building Permit Application 80ding and Code Regulation Division z3raOVirginiaAvenue,Fort pierce FL34982 �OmmerC€3E Residentiai Phone: (772) 462-1553 Fax: (772y 462-1578 PERMIT APPLICATION FOR: PROPOSED tMPROVEM ENT LOCATION: Address: 11" 7 i^. 2 L s , Property Tax ID #:a 'r a Site Plan Name: Project Name: DETAILED DESCRIPTION OF WORK: New Electrical Meter Second Electrical Meter CONSTRUCTION INFORMATION: Additional work to be performed under this permit— check all that apply: —Mechanical — Gas Tank — Gas Piping P $ ^ Shutters Electric ^ Plumbing — Sprinklers Generator Total Sq. Ft of Construction: Sq. Ft. of First Floor: _ Gast of Construction: $ �� - Utilities: — Sewer _ Septic OWN R/LESSEE: CONTRACTOR: • ! _ _ i --. ... �. City;� Company: 1 State: "ZIP Code: �� ddress: Fax: City: Phone No, E-Mail:a r N Zip Code: - Fill in fee simple Title Holder on next page (if different E-Ma I 51 from the Owner listed above j State or County License If value of construction is 25W or more, a RECORDE[) Notice of Commencement Is required. If value of NAVC Is $7,500 or more, a RECORDED Notice of Commencement is required. Windows/Doors Lot No. Block No. Pond — Roof --.Pitch Building Height: _� Stater Fax: � il`i 1-�S cfln SUPPLEMENTAL CONSTRUCTION LIEN tAW INFORMATIOW f)ESIGNEtijENGfNEER; Name: --- Not Applicable MORTGAGE COMPANY. Not Applicable Address: Name: City: Address: Zip: Phone State: City: State: Zip: . Phone: FEE SIMPLE TITLE HOLDER.- — Not Applicable BONDING COMPANY: Name: Not Applicable Address: Name: City; Address: Zip: Phone: City: Zip: Phone: OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation I certify.that no work or installation has commenced prior to the issuance of a permit, as indicated. 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 structure. Please consult with your Home Owners Association and review our deed for an restrictions which may apply. y yp btt such 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 mlb(e to Record a Notice of Commencement may re in paying twice far improvements ur ope A Notice of Commencement m t be r ord din the public records of St. Lucie Co n with ier�d a an a $t neo bef reobsit before the first inspecti n. f yo.0 intend to obtain financing, mencin work or record tn. consult � b x Notice 6f Carrtmencement. V ;L Signature of Ovine.- Lessee/Contractor s f i �4 lent for Owner 5ignatu :e f Contractor/License, H Ider STATE OF F40RI[3A k COUNTY OF C®U O f FF ORI TIf OF C) Sworn to (or affirmecj and subscribed before me of Ph sical`presen'e ar Sworn to (�r affirmed) and subscribed before me of this �ay f Online Notarization � cal Prese ce or 20 b 's cal of Online Notarization 20?'�2by Name of person making statement.iC Name of person making statement. Personally Known �� OR Produced Ide i lc lion Type of Identification Personally Known V OR Produc d Id `Prod ced Type of identification ratification Prod d r ( 'gnu ure o Nota u 24 Notary Aublic State of Florida ( ignature f of P Q of Ilarida Commission No. Kari M Ric�6 a ran Commissib? }967938 Commission NO, row p42Cs Notary Public Stp { or r.o i xpries 051212024 BbA&PUPnda Ricc9 OF`OF: ` My C mmiss;nn GG 967938 dt' Expires0512812.24 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION COUNTER REVIEW REVIEW SEA TURTLE MANGROVE DATE REVIEW REVIEW REVIEW RECEIVED REVIEW DATE I COMPLETED 0 ro 0 'Z7 0 ro' a z 0 w Cl) 0 co 0 Q CL to m a M cn cn w o K) cj) w n w u3 CO ca M cn Cn (n a. �� yr CO �n o ny N pco-`-`x �w i 0 -u V � Q' O (nn P �i o * [n cO f m --i '. Cf) D .. O -u O Z p O N TI C Q. -, —i oo�z� 6 �Dcr-'o a)m "� C7 x -0 y C a0Nz —tc� C— M Q 7C] m CF)° M n 0 � A C O (} ca i�i z r- Q r,3 mp Q Q -0 m z G7 N CO m z co 0� o z � C z n Q Q T m -' � w>-0x rnx>n,m rn u C-) Z � � Z `` 2 Q � X m a co m T Fn Q co �OFj;3(zj m� N m rn z p D m e rn Z-0.�� �K D zr- m m m0 m 2 O reap m -q >m a _-1 a) N Cl)Fn n0 o z o ? m cn m ocn p N 77 < Cf)� N ' � O o m Z v as m U? C a: l CD _� Z�:= o ap r>z CL 0 CD 3-4 co � 70 ->2b c ymommO act o 3> CIO �a az-Z5 m c N_.-.w w m �''rn m nv-(�m m zip=: c co O- m a C) m FF Q �113 (D0(nm Oomoo flN`cmnao `?�53 w���ur33 p40 C)s mfln0 (n 0 ?m>C-3 7 0 W m n n ����.� = � av Zra.rs.`-,Q au,m u mntO-�. ao''-"ra 3 xin <sn-a m Q n, a (7 m 7 CE) �. Z� CLa ac�00ti CL a a o' aa, N o 2' `) Tm ti a m n c CL -mow u, < an m 3 y As -to) CCa 0 LCD } S'M 6 Co c CDCD rr CD P .0 y -• m Na � am @ c-y a »m ow o04`w v�o cyU CL rL _ 0 CL w 50m�Map. 3 m mC� m o -0 CD-ZPm3_mm4mOoao m� CD w ?m=,ansu aQ m 0�- v gip' j?O ?�>to a � cv nC7�-(0 CD —m anCD 9; _�0C_ W N a'L - C•O- N ma�mE)m-�=a.7 o vi , bmm aoo- 0EF omo M- o m 3 o C)5m CLa (D N m m v O [b ra 4 in •O n N po5LC) v�5 rrnn I'* ro0 m a-O C2 fD nmocOa3A+ CD -00,V 3y W P) ro .r �i ncfl �oO AI P� 2 m�3 cvm �wrn @ cr (on ��y�$ Chti w 7 zrm w m o c ::r En. CD - W D a m 0 (0) p m sum M 0 UD 3<oC-3EF C c CL .�. 41[l '. CDNab�9=1c 7�CD p O �•� � � � (D 233 23 _ � T 0 Ct, 3• amn�.y O En fD (0 a (n t g lD. a' p 0 m (a a cn - - o o_0 C mscD c U, N 4 7 Cl , CG ap H f•.a Q a 5- ° ca—D 43 a.a ?a ai oCD 3 n m w c C O n 0 0 m to cn N 3, 7 3. 6 6 O A7 N S Ai LSS p� CD CD m 3 3 p-n of m w(D m= __ — Ai —* O a O a C O O@ co Q cn r 0 N O CD N) Cl) co .. 0 CD o o a CL 3 n CD a O CT CLo n CD 0v w CD a CD w O E3 :3 p 0 Qn fl cn (D m (D a C3 x �� fOn (Dp Z zr 0 CD CD rn Z ro , NO 0 (D O N tD � O A3 CD CD O (D CD CL 0 O M CL Q r- O D D C7 -i J7 frf 3:3 5 a a w m 3 3 c� 3 o o O e v w (D jr, O N Z o m m fit X CD (D rn m Al c -0 �7 > o o a. LO 0 O 00 (a O O O � z iD 0 CI] z CD C O C] O Al Cn (D ((DD 0 c a� mN 0 O 7 CD CD� O 0 © U] m O w CD (D �, Q O @ n 0 j� cD - V E CD ° o z 0 0 n z O O: 0O O N (D CD W CD � a Vi (D O (nO 0 _CD � O n W cD O n (D CD CL (DCD •• O Z O :3 S O Z m O 7 O z CA a r r 0 z v m (n m Z 0 0) 4 CA CO 0 co m rn N U) n --1 z 0 O n z C7 O O O N v) z O a z d O O N iV O 0 U) 0 m C) d D r• m -0 m CD -� (D � O z n D � 0 (U m lw m ca p L1 „O 4 i •s A w 'a>m-<r-4A-uCAz �bcD Z o mr-moomz>-Ao afM75:- Z A-IOZzm Z<O' 0 �mIWO-� m -q -nm� nro bc in O a. am >0r>�CO=OO cm- �crnD 0 --fmza n �z'�M Da nO>oz o=mrn >@ Ca : Z� orrn�-<MOZM ?M•n00ca r � � m<"�n= rmM0 M,cn z? cr � >OC M( �-�-C Ognoo -t-�*r£-aM_-qm CD c x --1ozm)0_g0a 000zo.Mz r---i-0 MZCcCll0 m oo�zMc emcm�+rmtiCL -i aG) 0 or--aCDR-qv- M>mmzo-, nN '=. rj)000•<N?ozo C),< cD COO—<Zm..<rnc0 0 m- --niZf mm>Cxmo --I 'z T-mzo m-qo�<rnmrnma �ncorn�n�`oocn E Cr o z -00"Oo >zrmo O-9 Cmm_. Z , D ; OoM mr--q>ME mz in x�a � a� Ommm 2 00wooc> -j ����=rr--0:0 cM 0 -env a-m � -q>>OT nNn>m� >00 con cno.�oz M>:z 0-0 �zm -0 CL -0w>-<n� ��C -�Qzr-mm �(v 00- rma)Mn y 0) Zmrn m � -nMK0 Q w 4M-o©ma)anr - >R'=CD ��Z c)no=-< �o�n 0 Q mocn-omoarn� >� o0 m -q nay � O° m3t3 n�r"M-1r-rn mmo xmocn�mr-cn< o -Z @ z OMUZ o Om� -0 on �) o�az„� Emm0-gmr0 �mazm>0MW �!' mmocM m-� Z>MM>o MOE "' awro 0(11 � �+on.ru zv � C�LrrC .. ao�°�n� 4w CD �vmnM�m0:<� �nDQ? �(zn�'�cnz mn��mrncrn-..mrm- D. c-<m m 0 DW �� --Ir-c0RZ� M� tzs m M0 in -I> m zG) mo z Co s a 3 CD n c a 0 m 0 Z) m cr w cr D 0 0 3 n s� m Q. O a @ CL su r n CL m naw--.�Z- `=!m m RCN QE oa_-M"5 o� ao v be L.w 0 � . aa� , s -n rn � 0 a-L�Q�� 'ip MCn (D Xpy• om Dw 7�a' 3] qfi ^ cb O °c ��m w zit -'mwMm' smma+M m°"' a O_�C' rn Mw FOZ w M=i: s CL =r-3 m0 P`CD m D-00 0 t CL a �r a OCD �Z* c Cana a Q m` N d �m 0; t �CD -nw C � =°ova MU3 ��y �0myaa co mno- m - Z ci- NOo Z o O! v_ Ei mm3 y. rn"r- m D gK,M n -(a. C a IDwn v o'zfl Orr Z N a �C� c � mcn5.3 mama m � ro� 03 n a -,ems CL a 5AZC z r— Dm�� m GiZ77�+7 � mOpm m m=am-u a z-i�-4 5 D]7Z n,02 C MCp T1 : 3 �� @ O. rL i nE2.Zfl n L 0. 0 y mm w p 0 -<�u E-o �i ',3 n r-m -C Ic z� o a 4`D m Dromo � ozaZ a -nt fl m oB(nQ cn 0 cn, m I D m O K 0 o 3 Zr M CD w 13 p � � _D G1. � CD CD CL C m � b, O CD 71 CL m M o a0 M. ra a 0 0B ? ro ' CD ro x w Co I y N ZZ LO Cu K X a � O y 03 co 'FD' v 1 z za v JZ CQ O (n —{ n �A 3 z 0 D Q Cn t"3 D m m j 0 vC< m � v: m vm =of a� -q0t CCc 0> < iZ O fT C�K 40C m > A02 0ri �D IQ�� Mm� � mM0� -7 m r Z 0� m v rrn an 0m 0 Z Ur �m o Z 0 � Z � t- D mZ Z -< r-V D m * m N 0 Z 0 r m X N 0 m m 0