HomeMy WebLinkAboutBuilding Permit Application r
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All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED,
Date: 3Iola.la0 _ Permit Number:Vz,,<NI
V� RECEIVED
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Building Permit ApplicatildWR 28 2022
Planning and Development Services St.Ludel County
Perr ittipg
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)4.62-1578 CBDG Funding
PERMIT APPLICATION FOR: E LEUT� -I CAL
PROPOSED IMPROVEMEl�hf LOCATLON:
Address: I 30-1— �i-� iu\IGRIA 571 FT 1?, ,V _E g 3y 9t-l_ C
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Property Tax ID#: LA -�y�1^ (Y'�^ C)0V - Q- ' J � Lot No.
Site Plan Name: ! Block No.
Project Name:
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.DETAILED�DESCRIPTIOi ,1`0F` NORK:
n k hi
kN L.1 r
New Electrical Meter Second Electrical Meter (Affidavit required)
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-CONSTRUCT ' INF,O�fi�lAtllON
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Additional work to be performed under this permit-check all that apply:
_Mechanical _Gas Tank —Gas Piping _Shutters I_Windows/Doors _Pond
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_Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ Q � Utilities: —Sewer _Septic Building Height:
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QWNER%LESSEE:'
n- CONTRACTOR:
Name r. Yo 0V 1 Name: ! tl 0L-
Address: Q(A - Q 4 @QSC� 1&& a Company: —:Ae I iea C S
City: �a:jn, Stater . Address: WAO I \OW
Zip Code: 30� "Jy Far,: City: V"t. State:lf
Phone No.`f GL-C1-1 I-I93y E- Zip Code: 3AQNu I Fax:
Mail: Phone No '111a, 4(.QXAW
Fill in fee simple Title Holder on next page(if different E-Mail � a �•�m
from the Owner listed above) State or County License tC.. L--�M I( 3
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If value of construction is 2500 or more,a RECORDED Notice of Commencement is required.
If value of HA is$7,500 or more,a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL LIEN LAW WORMATION.
DESIGNER/ENGINEER: _ W _;Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phon<_______ Zip: Phone:
FEE SIMPLE TITLE HOLD.'R:; Not Applicable BONDING COMPANY: Not Applicable
Name: _ Name:
Address: _ _ Address:
City: _ _ ___ City:
Zip: Phon :c Zip: Phone:
OWNER/CONTRACTOR i U:e'I D 11T:Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no work or instal'cition hai commenced prior to the issuance of a permit.
St.Lucie County makes no represp,%,,tion that is granting a permit will authorize the permit holder to build the subject structure
which conflicts with any appllc:ibl: H.)meowners Association rules,bylaws or and covenants that may restrict or prohibit such
structure.Please consult with;loi r H: neowners Association and review your deed for any restrictions which may apply.
In consideration of the grantir g o this requested permit, I do hereby agree that I will, in all respects,perform the work
in accordance with the approv;:d ,:aus, .:he Florida Building Codes and St.Lucie County Amendments.
The following building permit;.pp!c:e tuns are exempt from undergoing a full concurrency review:room additions,
accessory structures,swimrnin p,ola,fences,walls,signs,screen rooms and accessory uses to another non-residential use
WARNING TO OWNER:Your fflure to Record a Notice of Commencement may result in paying twice for
improvements to yaUF pro .ierty. A Notice of Commencement must be recorded i'n the public records of St.
Lucie County and posted on �=:he jobsite before the first inspection. If you intend to obtain financing, consult
with lender or an atterw2y)afore commencing work or recording our Notice of Commencement.
Signature of Con motor-or-(Avne.3uilder as applicable
STATE OF FLORIDA
COUNTY OF I,Lc—`tf:
Sworn to(or affirmed)and schsc:JI---?d before me of V Physical Presence or Online Notarization
this a3,day of_ �'1Qy' 7_04 by
Name of person makiA7C
nent.
Personally Known ,, Produced Identification
Type of Identification Produced--,-
(Signature df Notary Public-S-tat c f Florida)
�s� =o6/0512022
State of Florida
Commission No. GG�.L��v �!_(Neal) Montep1 9
ion GG 21499o
512022
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER RIM*'=W REVIEW REVIEW REVIEW REVIEW REVIEW
DATE ---- ------
RECEIVED
DATE -- ---._-----
COMPLETED