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HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED r� /� Date: 1' • ��• Permit Number: �' not V RECEIVED Building Permit Application JAN 13 2022 Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial 1/ CBDG Funding fit•. Lucie County Reside ntia "itting PERMIT APPLICATION FOR: �, ��-'97, Gam, PROPOSED IMPROVEMENT LOCATION-.. Address: 1 C>410 50SA (3ceam Property Tax ID #:LLtt Lot No. AT . Site Plan Name: VT I �S L�}N1\ N CU�� 2 Imo_ Block No. Project Name: u 1 ��f I J�Sc�f� +TSUAIVLI..� C' _Qb &42n 6M4N1yN DETAILED DESCRIPTION OF WORK:: New Electrical Meter Second Electrical M ter (Affidavit required) CONSTRUCTION INFORMATION: Additional work to be performed under this permit -check all that apply: _Mechanical Electric _ Gas Tank _ Plumbing Gas Piping _ Sprinklers Total Sq. Ft of Construction: '*Z�d Cost of Construction: $ 2-1, 6 1+1 10 (0 Shutters _ Windows/Doors, _ Pond Generator Sq. Ft. of First Floor: Roof Pitch Utilities: _Sewer _Septic Building Height: OWNER/LESSEE:. CONTRACTOR: Name C 1 CW& Address:loki0 S OCEA P -DILY VE= ame: E1,I0- /y/ Company: $ Ul e Cc�QQ�- Address: ,Z•�SF_ K OR-0 � ST City: C�W,/1 State:% City: 'CeJA C CA ls�6 State: Q(..— �c� Zip Code: Fax: Phone No. Z — 2Z— O ?j,� 7'L E- Mail: Fill in fee simple Title Holder on next page (if different Zip Code: 22 Fax: Q Phone No -nl ) — 672 — ?✓' -1 E-Mail CC from the Owner listed above) State or County License r cyc. I OO G 2— 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. SUPPLEMENTAL CON°STR °t CTI;ON LLENs LAW] INFORMATION t DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: Not Applicable Name: SE P -DVF_ C4D].<�M1J Name: Address: /ltAo ry` S., � • 2©2 Address: City: State:City: State: Zip: -s29 C' C Phon 60 Zip: Phone: FEE SIMPLE TITLE HOLDER: Name: Address: Citv: Zip: Phone: _ Not Applicable BONDING COMPANY: Name: Address: Citv: Zip: Phone: __,A�pplicable 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 wi+h Innrlor nr nn n++nrncv kafnrc rnmmanrina %einrlt nr rarnrrlina vnr rr NntlrP of rnmmPnrPmPnt_ Sign ur n Les ee/Contractor as Agent for Owner COUNTY OFORIDA Sworn o (or affir and subscribed before me of Physical Presence or Online Notarization this -U day of 2922 by c o Name of person making statement. Personally Known 4-1stOR Produced Identification Type of Identification Produce (Signature of Notary lic- State of Florida B. HUMPHREY S,{Y PUpAUDREY Commission No. (Seal) " ° " MY COMMISSION It GG 300817 �'. ' '1� _= EXPIRES: March 6, 2023 • L�cnded Thru Notary Public Undenrriter- REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Kev S/Lu/L1