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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: ° a.3 Permit Number: RECEIVED o DEC 2 3 2021 �� Building g Permit Application St. Lucie County Planning and Development Services Permitting 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: A Lo mimo (41 R Ot)F Sr✓AZ6 Rl JP0te"(1 PROPOSED IMPROVEMENT LOCATION: f'= Address: '710 LAIW L44 B1,4 Property Tax ID #: 13 01 - & (4 - 0 137 0 00 - Z— Lot No. A 7 Site Plan Name: 4 A KF— 00 Block No. Project Name: DETAILED DESCRIPTI I OF WORK: r r1 AdD '°cer- f-go R00""A New Electrical Meter Second Electrical Meter (Affidavit required) CONSTRUCTION INFORMATION: 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 V' Sq. Ft. of First Floor: Cost of Construction: $ / °S©i% Utilities: —Sewer _Septic Building Height: OWNER/LESSEE: CONTRACTOR Name 1°Diq mmb Name: S7'xyF- lv1�4f{L3Gttll�� Address: 71 07 G/IKr, LiPt b ,[j LyZ.. Company: K j S -r.4DJ S-r91A s° -.754 C. City: f:--r JD/tZ G,E State: rC. Address: IJ77 S.t,)13i�T/�1o/��sf. Zip Code: MI-Sl Fax: City: EOAI- S-r- k J O14 State: Ic L. Phone No. 772 - 6 72 - E- Zip Code: 3It? 83 Fax: Mail: -,fv4A1MC4 U34 e. 6-tiA1L. C em Phone No 772- 979- 686,5" Fill in fee simple Title Holder on next page (if different E-Mail is,il40s /M.p (d 4 0 L - CD/Vl from the Owner listed above) State or County License C Ci C IS-0 76 4 A 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. DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: t l)RtVq iLc. Name: Address: qI6 I r AM 0 a1 r RAC L 07®I Address: City: ,paRI- CH&R koll-C State: F L• City: State: Zip: 339s2 Phone 9-4[- 371- -5_7K0 Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: Address: City: Zip: Phone: BONDING COMPANY: Not Applicable Name: Address: City: 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 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 with lender or a attorney befojie cgMmencing work or recording our Notice of Commencement. Signature of dontr4or - or - Owner Builder as applicable STATE OF FLORIDA L-oC COUNTY OF re Sworn to (or affirmed) and subscribed before me of °' Physical Presence or Online Notarization this.ffiday of L Fr .206L) by k W_b l h!�.Er'wm Name of berson making statement. Pe nally Known ✓stOR Produced Identification pe Identificatio r uced (Signature of Notary Public- State of Florid Commission No. (Seal) tate of Florida AN n GG 9209352023 =10/27/2023 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev 10/12/21