Loading...
HomeMy WebLinkAboutBuilding Permit ApplicationK 7 All APPLICABLf INFO `,LI�ST BE. COMPLETED FOR APPLICATION TO -BE ACCEPTED - Date: Permit Number ;260 012--M MAY 2 02020 Building Permit Applicati 1�ej mittirlc, s .. �i i•' P 8 c.. Planning and Development Services n t St .I_'.l C! � 1.-'��L! i"l t ! �= Building and Code Regulation Division Commercial Res-ideii tlaC__. y L 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: '' �Y� ' �' c� ..r r: 5iy �,, CC. ^�.�� an � ��`„Y,'��, tr 4 `�',� � "'E''�; ��,Mr�� "•uc�J"� 4,. �Y^ �, � _ y ,,'`� t �Ga ��� t Address: I1't�a Q✓ c Property Tax ID #: Y / -- �.� 1 r ©� D I - �� �' `' Lot No. Site Plan Name: Block No. Project Name: New electrical Meter Second Electrical Meter. Additional work to be performed under this permit —check all that apply: Mechanical Gas Tank _ Gas Piping _ Shutters rl Windows/Doors _ Pond i/ Electric ,LPlumbing _ Sprinklers _ Generator _ Roof Pitch Total Sq. Ft of Construction: �— Cost of Construction: $ 31 Sq. Ft. of First Floor: Utilities: _Sewer _Septic Building Height: Name tgtf 6 4_3 riA r-1 f( Address: 5:%v,:4 ' %i'�i.i,t�I'�'• City: I/(TU/�eac"ht.. State:` Zip Code.; _Fax:_ Phone No. X0/ 1 76.9-- 1600 E-Mail: Fill in fee simple Title Holder on next page ( if different from -the Owner listed above) Name: Company.: City: -7 lerie_kz i State> Zip Code: go/VI(I Fax: Phone No E-Mail State or County License CSC- /95/. &" 94 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. DESIGNS ENGINEER- ._ Not Applicable Name: Wery- . /6Q4.'`S Address: City: State: Zip: Phone 77�70F42 Q FEE SIMPLE TITLE HOLDER: Not Applicable Name: Address: City: Zip: Phone: MORTGAGE COMPANY: —Not Applicable'. Name: Address: City: "State: Zip: Phone: BONDING COMPANY: Name: Address: City: Zip: Phone: 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 orinstallation has commenced prior to the issuance of a permit. St. Lucie County makes no:representation that is granting a,permk"will'authorize the permit holderto-build the subject structure which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such structure. Please consult with,your Home Owners -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 concurrencyreview: 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 attorne before commencin work or recording our•Notice of Commencement. G -730- o Stgnatur . Owner/ Lessee/Contractor as Agent for Owner Sig ature ontractor/License Holder - STATE OF FLORIDA 11 %��� STATE OF FLORIDA COUNTY OF 3 , �!/ L� / e COUNTY OF -,. '�- l C. Sworn to (or affirmed).and subscribed before me of Physical Presence or Online Notarization this day of 202-1 by Name person making_ statement. Personally Known OR Produced Identification Type of Identification j Produced _ I I C_. n/ /mil. '•(� �n---1�-�/. �l in/.1 ' (Signature of Commission No. REVIEWS RECEIVED DATE COM PLET AUDREY B. HUMPFttctr • MY COMiq@gp # GG 300847 EXPIRES: March 6, 2023 Bonded Thrni Notary Public` rs Sworn to (or affirmed) and subscribed before me of Ph sical Presence or Online Notarization this day of 20,= V by RAJI Name of person making statement. Personally. Known OR Produced Identification Type of Identification Produced i-- . , C .�, _-tA (Signature of Notary Commission Nr,-A'P FRONT ZONING PLANS'., ' COUN ER I REVI W I S REVIEWOR I 'REVIEW I V REVIEW State of Florida) " U AUDREY B. HUM' TOWIMISSION # GG 300817 EXPIRES: March 6 2023 d Thru Notary Public Unde 'tars 54�GROVE REVIEW REVIEW