HomeMy WebLinkAboutFernandez permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: \ Permit Number:
LUCM
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Planning and Development Services
Building Permit Application
ion f nmmPrr_ial I Residential
Building and Code Regulation Dpvis
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
CBDG Funding
PERMIT APPLICATION FOR: f,
PROPOSED IMPROVEMENT LOCATION:
Address: ' c
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Lot No.
Property "fax ID #: ��r��.°1�°=�--�, -�-� � ✓ >'
Block No.
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
New Electrical Meter Second Electrical Meter (
Affidavit required}
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
Gas Piping Shutters Windows/Doors Pond
_Mechanical _Gas Tank _ P g — --
Generator Roof _Pitch
_ Electric _ Plumbing _ Sprinklers _ —
Total Sq. Ft of Construction:
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
Cost of Construction: $ a
OWNER/LESSEE.CONTRACTOR:
Address:`"ClI.U(') "�,� °
city: � state:
Zip Code:: —A Fax:
E-
Phone Na'e\`"�
Mail
Fill in fee simple Title Holder on next page if different
from the Owner listed above)
Name:
Company: �:�lrc `�- ��' C C
Address
State:
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City;
Zip Code: c-\'� Fax:
Phone No`���
E-Mail ' C
State or County
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.
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a perms
1 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
with4ender or an attorney before commencing work or recording your Notice of Commencement.
- Owner Builder as app
SCfE OF FLORIDA
COUNTY OF —:Z)'-V
Sworn to (or affirmed) and subscribed before me of Physical Presence or Online Notarization
this\&-"ayof 20-2'7-by
Name of of person making statement.
Personally Known OR Prod%ced Identification
Tvoe.of Identification ProducedV—\— '-;�N,,TLA—
`(Signature of Notary Public- State of Florida)
Commission No.
��,- Seal)
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ZONING
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DATE
RECEIVED
DATE
COMPLETED
Y Notary Public State of Florida
Lisa M Catalano
My Commission HH 146905
Expires 06/28M25
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