HomeMy WebLinkAboutBuilding Permit ApplicationAIIAPPLICABLE INFO MUST BE COMPTETED FOR APPTICATION TO BE ACCEPTED
Date: 2- /f*22 Permit Number:
LUGUE h."t, # 7qi-2.t- //?
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F Building Permit Application
Commercial Residential
CBDG Funding
Address:/c7) T f, Ozeu,#7rs €a oi. rt. 3/z 57
Property Tax lD #:
Site Plan Name:
4rl-f02- ot?,'d - eca-'7 totNo. iV
Block No
Project Name:7r e
/r2
rn
New Electrical Meter _Second Electrical Meter (Affidavit required)
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:5-?0 Sq. Ft. of First Floor:r30
Cost of Constructio n:5 /? O0" uo Utilities: ,fS"*"r. _ Septic Building Height: Yf/
lf value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
pERMtT AppLtCATtON FOR: fien a /;*;on
DETAIL OF WORK
NFORMATTONCTIO
Namef4..q.,c?5 6n"aolez ,*ft*lt / rtqz-,/c z -'Frt<
3 iVel r"*,
Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-fitz -f86 -3il/
City:e state: frf
Address:
Zip Code:
Phone No
State or County Yir.nt" d',&: /) t/?Et
Statef,lrt
{
//F,*: 772 *23J*317/
ress:
E-Mail
Company:
Name;
Add
City
Zip Code:
Phone No
lf value of HAVC is 57,500 or more, a RECORDED Notice of Commencement is required.
OWNER/LESSEE:CONTRACTOR:
8ea,rLrd-/0 ;^,,
tD i*
Planning and Development Services
Euilding and Code Regulation Division
2300 Virginio Avenue, Fort Pierce FL 34982
Phone: (772) 462-L553 Fax: (7721 462-L578
PROPOSED IMPROVEMENT LOCATION:
State
DESTGNER/ENGTN
City:
Name:
Address:
zip:
licable
Phone:
City:te: _
MORTGAGE COMPANY:
Name:
Address:
FEE SIMPLE TITTE HOLDER:
Name:
e
Phonezip
Address:
City:
_Not Applicable
7ip:
Name:
Phone:
City:
Address:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and instailation as indicated
I certify that no work or installation has commenced prior to the issuance of a permit.
St- Lucie Cgyfty makes no representation that is grantinga permit will authorize the permit holder to build the subiect structurewnrcn conTilcts wttn any appttcabte Homeowners Association rules, bylaws or and coVenants that maV restrict or Or6hibit suchstructure. ptease consutt wtth your Homeowners Association and review your deed for any restrictions which may apply.
ln 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 OWNE
improvements to
Lucie and
- or - Owner Builder as applicable
STATE OF FLORIDA
COUNTY OF A/^ Bro ,l
Sworn to
this l7
(or and subscribed before me of Physical Presence or _ Online Notarization
d ay of zoJJ nv
A)"W\L -(, ;+1,
Name of person making statement.
Personally Known OR Prod I
- oQ -lt- tt4-O evP. ot/to/toa3Type of Prod
f(
of Nota of Flo
commission*o. ff'ff {decpi ,r"r,,
PAT O'DEtt
Notary Pubiic. State of Florida
Commission#HH 160096
A{y Comm, f,{piresAug Z, 2025
REVIEWS FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
RECEIVED
DATE
COMPLETED
CONSTRUCTION LIEN LAW INFORMATION:SU
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