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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ..��77 Date: 5-11 -ai,a Permit Number: yk- Osy L .BEn fin , ` RECEIVED .hi L1 D MAR 17 2022 Building Permit Application St:Lucie County Planning and Development Services Permittina 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 IMPROVEMENT LOCATION: Address: (nn(4 LkD l«©1U15 Property Tax ID#: 31_`�n( 5117 _ �a A000 -a- Lot No. IV Site Plan Name: I i vex Pack Block No. I� Project Name: Ee-00_ DETAILED D CSC«RIPTION O WORK: 4 ' vn:y•J 1��,docq 'Fe�c e . 3� " �� lam' ��r rt�i( 'Fencle n r,e, b e•nce fy-\at f. ao err,r&�_ ot V• New Electrical Meter Second Electrical Meter (Affidavit required) CO STRUCTION INF T A ION: Additional work to be performed under this permit-check all that apply: t _Mechanical _Gas Tank -Gas Piping _Shutters -,..Windows/boors Pond — . �.: _Electric _Plumbing _Sprinklers. —Generator _Roof Pitch Total Sq. Ft of Construction: Sq.Ft.of•,First'Floor: i Cost of Construction: $ (� ®• Utilities: _Sewer =;Septic i" Building Height:. , OWNER/L�: CONTR CTOR: Name 0_-)6 P i - `1� eve: Q� l ke Name: Address: 1. `CO+0' 0: : �rC.r11 �',r. Company: v Cityl`b(� iL^ i'P, ^ _� �s tirn.; State: L- Address: Zip Code Fax: ^ City: State: Phone No. ��4 �?►� a�P�Q E Zip Code: Fax: Mail: -�515,44,Sm� Vx _-v�vj4 er o r0 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. 9UPRIPMEMM @Mm UUM UM M,W INFO' MATlON; 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 an altorney before commencing work or recording our Notice of Commencement. S1961yre of Con a or-or-Owne6builder as applicable STATE OF FLO�IDA l COUNTY OF �r' C 1 r . Sworn to(or affirmed)and subscribed before me of Physical Presence or Online Notarization this Nr?day of n7- 20y ` to . Name of person1making statement / Personally Known u ed Identification Type of Identi 'cation Produced (Signature of Notary Pub c State of Florida) U. Commission No. (Seal) AUDREYB.HUMPHREY '* a "* MY COMMISSION#GG 300817 EXPIRES:March 6,2023 BondedThmNotm Public Undcrw.-Acts REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev 10/12/2-1