HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: a' q'j,2 Permit Number:
21 LUrC L
{n, J I
Ir e ' c e �' w 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: RUM bi n
PROPOSED IMPROVEMENT LOCATION:
Address: 73 a KnrP Creek Way ort Sf Lucy 3445�
Pro pertyTax ID#: 33'06o q- 666•c�
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORD:
e6 trie w
r
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
r
(Affidavit required)
Additional work to be performed under this permit— check all that apply:
Mechanical _j Gas Tank Gas Piping _._ Shutters
_ Electric ✓ Plumbing , Sprinklers — Generator
Total Sq. Ft of Construction:
Cost of Construction: $ I) 101). o0
Sq. Ft. of First Floor:
Lot No.
Block No.
Windows/Doors _ Pond
Roof Pitch
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name i i G r
( d
Name:T-Or
r�
Address: u� P ne Gree- !�
re
CompaSt e u
City: b rt �� L.uc1 e ^ State: F1
Addresrl i, e
Zip Code:3'i q9L Fax:
City: Fort SfLucie— State: EGL
Phone No. 5 ro I `l c, I . ,3 ot 13 E-
Zip Code: 3 15Z _ Fax:
Mail:
Phone No 77c?- q65-65aq
Fill in fee simple Title Holder on next page (if different
E-Mail f ' ` 4 facie- L(Nj�;nfrom
the Owner listed above)
State ar County License C FC
it value or eansrruuton is c�vu or more, a KtLuKutu NoWe of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
MORTGAGE COMPANY: Not Applicable
Name:
Name:
Address:
Address. -
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
wvvjML;n1 %.vlv r F%^s- r vr% Hrriuvr i . Applrcation 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 an 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, I do hereby agree that 1 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 attompv hefnrP rnmmanrina wnrle nr rarnrrlinn uni or nln+.,.,, „f r,,. .. ,...... _.
111.GI I I CIII.
SignatL45xf 06oerl Les eJContractor as Agent for Owner
STATE OF FLORIDAS COUNTY OF • L I.tC I e
Sworn �a (or affirmed) and subscribed before me of
this :day of �W 20_by
Physical Presence or Online Notarization
vela
Name of p rson making statement.
Personally Knowny OR Produced Identification
Type of identification Produced
(Signature of Notary P ic- State of Florida) _
Commission No. 66 3 4 6M (Seal)
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CDIfidFUUM fII.I G owl
E ; j M 25. 20
4 �
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REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEATURTLE
REVIEW
MANGROVE
REVIEW
DATE
RECEIVED
DATE
COMPLETED