HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
%) 1�
�� d
Date: Permit Number: 4 `�
ECEIVED
LOLL
FEB 18 2022
at. Lucie County
Building Permit Application Perm
m►no
Planning and Development Services /
Building and Code Regulation Division Commercial Residential t/
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 CBDG Funding
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
I
Address: li C-AsTLE G - W, HUrCI1111350'd 15L.WD FART PIS + �L_ 3i9`1'i
PropertyTaxlD#: IL41LI -701-0IBi -000-0 Lot No.D
Site Plan Name: QyE-rdS CAVE Block No. Iq
Project Name:
DETAILED DESCRIPTION OF WORK:
WE VJIL1, REMOVE f- RE -PLACE 1-HE 56 G4LLO^J W47EQ HCA�-E2 SHs-oi-F1/4 C_
TJHEgAIAL, EXPANSIo!J 'iAIIJ K.
New Electrical Meter Second Electrical Meter (Affidavit required)
CONSTRUCTION INFORMATION Ifll'sl= lI'm.mill=
I
.iI .yam
a �,,, 0-1
Additional work to be performed under this permit -check all that apply:
_Mechanical Gas Tank _ Gas Piping Shutters Windows/Doors Pond
_ _ _
Electric Jiumbing Sprinklers
— — Generator — Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ li IUD Utilities: _ Sewer —Septic Building Height:
W i R LES,,
Name J'A& BAR>rJES Name: 61 RoGcks
Address: 301ci S. US H WV I Company: PWm1& 0, SEQ✓ICES 1N( .
City: rORZT PIEPC.E State: FL Address: 971 SVJ LAKE}IUPST DR
Zip Code: 34 Fax: City: POP,-r LUC4C State: F L
Phone No. "77a- 5/9 -U?73 E- Zip Code: 3 3 Fax:
Mail: Phone No -772 9HO -II`1LI
Fill in fee simple Title Holder on next page (if different E-Mail
from the Owner listed above) 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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY
Name: _
Address:
City:
Zip:
Phone
FEE SIMPLE TITLE HOLDER
Name:
Address:
City:
Zip: Phone:
State
Not Applicable
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:.
_ Not Applicable
State:
Not Applicable
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 an attorney before commencing work or recording your Notice of Commencement.
Signature of Contrac - or - Owner Builder as applicable
STATE OF FLORIDA --
COUNTY OF �
i
Sworn to (or affirmed) and subscribed before me of /� Physical Presence or Online Notarization
this L day of F-L'(iJ WA.VV , 2021by
Name of person making statement.
Personally Known _� OR Produced Identification
Type of Identification Pr�oducc�ed
11,E ayw
(Signature of Notary Public- State of Florid
te of Fionda
LHO
Commission No. (Seal) kEg
GG 950192
24
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev 10/12/21