HomeMy WebLinkAboutBuilding Permit Application i
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All APPLICABLE INFO MUST B COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:`z � I
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Building Permit Application j
Planning and Development Ser ices i
Building and Code Regulation Dl vision Commercial Residential
2300 Virginia Avenue,Fort Pier�7e FL 34982
Phone: (772)462-1553 Fax: 72)462-1578 CBDG Funding
PERMIT APPLICATION OR:
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Property Tax ID#: 3j35-6I- w38 -Oo0-a Lot No.
Site Plan Name: DUf*S CONDOf►imytA Aomir '933 AKA WniQ.9{- C&^ymwtu^ Block'No.
Project Name:
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New Electrical Meter Second Electrical Meter (Affidavit required)
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Additional work to be perfor ed under this permit-check all that apply:
_Mechanical _/G s Tank _Gas Piping _Shutters _Windows/Doors Pond
Electric V PI mbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ y�q,p8 Utilities: —Sewer _Septic Building Height,!.
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Address: V50 5.0CrAJ OR- #'93a Company,'�DASIAt- PLUM61^p4 Swwe4C-,�g/A1G_
City: JFtjSi�>J wcil FL 1'4 State:. ° ' ' -Address" `271'S'J IAKCUVtss' 9.
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Zip Code: 34923 Fax: Q City: F5, State:_�
Phone No. (!&) Y52 ���-I E- Zip Code: 3M93 Fax:
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Mail: Phone No 7 9L o—n(I -(
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Fill in fee simple Title Holder on next page (if different E-Mail 4iMhtZl404 SDI 10 .l.C&n
from the Owner listed above) State or County License ('--ba' /yasq6�
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.
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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 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
with lender or ah,attorney before commencing work or recording our Notice of Commencement.
Signature of&&actor-or-Owner Builder as applicable
STATE OF FLORIDA
COUNTY OF ` t (,+ o e,
Swor to(or affirmed)a d sy scribed be ore me of Physical Presence or Online Notarization
this At day of INU [ACV 20A by
MAC-
.Name of person making statement.
Personally Known X OR Produced Identification
Type of identification
Produced
1�
(Signature of Notary Public-State of Florida)
Commission No. (Seal) �` NotaryPulilicStataofFlorida
TRACY CARVALHO
+� My Commiuion GG 950192
Expires 03122/2024
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
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DATE
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COMPLETED
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