HomeMy WebLinkAboutBuilding Permit Application UPDATED ,SEER INFO02/18/2022 FRI 9:25 FAX 772 3367566 AC Advantage, inC. QJQ01/Q03
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:�.(7a'
714-ToNTIFEW 17S " "�` �` Building Permit Applical
Planning and Development5ervices
Building and Code Regulation Division Commercial X
2300 Virginia Avenue, Fort Pierce FL 34982
ti
RECEIVED
n FEB 16 2022
ST. Lucie County, Permitting
Resl en is
Phone: (772) 462-1553 Fax: (772) 462-1578 CBDG Funding
PERMIT APPLICATION FOR: VjVA-c q�AL c(,-iQKC c-( `
PROPOSED IJVI;P'R'VNIN.TLOCATIQN; :'
Address: � ` WS,
Property Tax ID #: S,5$✓ c) `•'`-ro).'- /2 Lot No.
Site Plan Name: Block No.
Project Name:
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:' Sq. Ft. of First Floor:.
Cost of Construction: $ (COn Utilities: _ 5ewer _Septic Building Height:
•�L ! N �' r 41{t � L 14arU.' v , ..•�i
y�.�t.�j%• 11�i f�tY ( �� 1° !„; WYi1
'Wi7 :'{{Khe'i3ti<4. ^'" '�$r.
I'M.N—
41 % .
NI
Name R/IVkaL-6. C) 6C-
Name ur
Address: I-1 St_iA4-<,� i1 V--;" 3020
Company: alp
Ci 60VCL k State: P'L
Address; Z-6 Wl i�ths>< S+
Zip Code: -63!X4 Fax:
City; C-L.9.- State: ,E
Phone No. E-
-
Zip Code: 54 Fax:Gv�15492ia
Mall:
Phone No --)--1 -L 3-z*56-1'6& (c
Fill In fee simple Title Holder on next page (if different
E-Mail (LSV - Cum[ V0.1�- cal C • C rv1
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.
/18/2022 FRI 9:26 FAX 772 3367566 AC Advantage, inC. �002/003
. SUPP.LEMtNTAL CONSTRUCTC,ON .LIEN. LAW- INFOWATION., . '
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
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 reppresentation that is granting a permit will authorize the permit holder to build the subject structure
which conflicts with anY apt�I(cable Homeowners Association rules, b laws or and covenants that may restrict or prohibit such
structure. Please consult wltn 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 leider or an attorney before commencing workor recording vour Notice of Commencement.
I
SI ature of Contractor- or Owner Builder as applicable
i
STATE OF FLOR1Dq
COUNTY OF {"
Sworn}o (or afflr d and subscribed before me of
2 Physical Presence or Online Notarization
this Ids day of 20U by
I
�
Name of person making statement.
I
Personally Known_ OR Produced Identification
Type of Identificativn Pro c
( nat a of Notary Pu ic-;State of Florida)
Corn mission No. (-4--1 2-0132-5 (Seal)
Jamie Pema
NOTARY PUBLIC
STATE OF FLORIDA
Cft" GG287323
Expires-10/20/2022 i
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVC
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
PATE
COMPLETED
Rev 1U/2ZJZ1