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HomeMy WebLinkAbout7905 Pensacola Roof app.pdfAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date Permit Number: {. Building Permit Application Planning and Development Services 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: PROPOSED IM Address: q % -� �n1,� kG Property Tax ID #: 1 3 Q' G 6 Q 3 V Q©� Site Plan Name: Project Name: DETAILED DESCRIPTION OF 7E New Electrical Meter Second Electrical Meter Additional work to be performed under this permit - check all that apply: Mechanical Gas Tank —Gas Piping _ Electric _ Plumbing _ Sprinklers Total Sq. Ft of Construction: i �u � IL Cost of Construction: $ `� ✓ALA V Utilitie OW Name LLonok w.1 Address: 70 " M-0 IN 4. City: P—F V ( ', rLe State: t -c_-- Zip Code: 'I L1, C\5- Fax: Phone No. 7�Z'� ' E- Mail: Fill in fee simple Title Holder on next page (if different from the Owner listed above) Lot No. Block No. (Affidavit required) Shutters Windows/Doors _ Pond _ Generator X,Roof Pitch Sq. Ft. of First Floor: - s: _ Sewer _ Septic Building Height: Lam' Name: vV- e UC Company: Address: 05 J City: P/Y`® �f c--c"\ State: Zip Code: 'T, 7 Ci 6 Fax: Phone No Z- k7 3 b E-Mail 4' i ,in`h_--� rq State or County License 4 C�OJOd If value of construction is 2500 or more, a RECORDED Notice of Commencement is requireu. 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: Name: Address: Address: City: State: City: Zip: Phone Zip: Phone: _ Not Applicable State: FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable Name: Name: Address: Address: City: City: Zip: Phone: 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 .-1, ..4;n vnllr Nntiro of i-nmmPnrPmPnt. VNILI I ICI IV CI Lr1 all auv, Signature of Owner/ Lessee/Contractor as Agent for Owner STATE OF FLORID COUNTY OF 'max 1 C 4 e Sworn to (or affirmed) and subscribed before me of ZPhysical Presence or Online Notarization this ti day of l�E'4�J 20 •-z -``by \1G d g_',V (,% A Name of person making /statement. Personally Known ✓ OR Produced Identification Type of I ntification Produced 1 1 J (Signature of Notary Public- State of Florida) of Flor�oa public State �f rye Nota y p Sanderson Commission No. ,(:(Seal) :' +s j Amanda 5sion GG21�256 om Illy, Cm yy �xp res 04125f2022 x� of REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED RCV J/4V/1_1