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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 'ti60:12- Permit Number: EI j� nn RECED V o MAR 0 912022 t� T int w- - St,Lucie County - Building Permit Application Permitting 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 PEP.MITAPPLICATION FOR: :�E dX' aK -*'& NEW Address: ©i T-c,A PCJ Property Tax lD#: 3q-® 2.- Lot No. 3i�_ Site Plan Name: Block No. : - Project Name: zr t � i{�}{- (}'��"- R,�[/�"`"'_"'"�`'x .¢_mil + - 45� ` +� 'V#� � .`l lkY: �f li3 ice' 'k -� '�M1� L +'a3,4 `t '4Y�isx � � ���:4"4S `Y_`�' �b4= r � �P,,,r.�/: �<.�:?'f. _.''AM /''� < ,�.. 3 �� _. , -, t'_c��--n_.},.�,, ..t<v '' -u�j:'x.. e_.e_. - P) Vim% re- -,- # i� o �`� C, C �5 L ot!-c Line Q t wa Gt �� 63A�� �a d ire'/ Y a (-:�-� ! �✓d C New Electrical Meter Second Electrical Meter (Affidavit required) Additional work to be performed under this permit-check all that apply: i Mechanical Gas Tank —Gas Piping —Shutters Windows/Doors. I . Pond _Electric —Plumbing —Sprinklers —Generator _Roof Pitch 2I Total Sq. Ft of Construction: �;� Sq. Ft. of First Floor: Cost of Construction: $ , �`�/U Utilities: —Sewer _Septic Building Height:. .�, -Y.;s:, w-r -€� '- - ,.,ta�"��:�'O, a p� (]�/{ 1 .� Cs-yy-+. _:. -t -�r,'at'-� �.; -�-''} R ... �1-Y�RI'1 y'.Ell ga d' '.a�'r,.,t `"��`'-;-T+.s y � `..�z „.,0.. x.....<.:.,_ .. c, ',t, y._. - -. ,v �..,:.y.e - _ g _ - as�.a:z , ,..z IAW. , .0 _,s ue.; - Name `t6 Name: Address: I ve Company: City: j State: Address: Zip Code: '3!V9 R 2- Fax: City: State: Phone No. �� �- _ S E- Zip Code: Fax: Mail: e:ju ko Phone No Fill in fee simple Title Holder on next page (if different E-Mail 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. r - 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. Luc K­Fpunty and posted on the jobsite before the first inspection. If you intend to obtain financing, consult with le der or ap,9Tf57rpey before commencing work or recording our Notice of Commencement. Signature of Contr ctor or-Owner Builder as applicable STATE OF FLORIDA �_"�'�1 1 � — COUNTY OF l Swor o(or affirmed)ands bscribed befor me of Physical Presence or Online Notarization this day of 2RSF C S ' 11� Name of person making statement. Personally Known OR Produ ti n Type of Identific tion Pro uced (Signature�of Notary Pu lic-State of Florida) Commission No. (Seal) is KAREN S. NIELSEN 1FR PVB' <;;State of Florida-Notary Public * Commission # GG 207484 �9'�OF f`pP fumy Commission Expires - �'��nm�� June 12, 2022 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE- MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev 2 2