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HomeMy WebLinkAboutBUILDING PERMIT APPLICATION All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED / �!J Date: - — � o Permit Number: � o (' R rcm ,R RECEIVED FEB 16 2021 Building Permit Application st.Lucie County Planning and Development Services Permittin Building and Code Regulation Division Commercial Residential 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 CBDG Funding iPERMIT APPLICATION FOR: Address: S Oc Property Tax ID#: ` ©(530 - Lot No. Site Plan Name: JAC M I a Block No. Project Name:�f�dV ct DETAILED DESCRIPTION OF WORD', ic61 r `\P�(l t CC. �Q�` �� `�f"6�►1 oy►�P, SQI yIG� c n ,�- New Electrical Meter Second Electrical Meter (Affidavit required) CONSTRUCTION INFORMATION: Additional work to be performed under this permit-check all that apply: _Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors _ Pond Electric _Plumbing _Sprinklers _Generator _ Roof Pitch Total Sq. Ft of Construction: 36�1,1 Sq. Ft. of First Floor: Cost of Construction: $ 860 Utilities: Sewer _Septic Building Height: T ACTOR: Name �q 1^ Name: Address: f'�e 5! So O f 1 tq Company: city:��'-'►sly c�, State: Address: Zip Code: Fax: City: State: Phone No. Ubn 11,52 E- Zip Code: ax: Mail: -� i;.7k0U J- 6 ALA .(f, Phone No Z � 54 Fill in fee simple Title Holder on next page (if different E-Mail G A4 N,_from the Owner listed above) State or unty 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. SUPPLEMENTAL CONSTRU . ?f t :c.AW I NFORM ATION DESIGNER/ENGINEER: _ Not Applicabie 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: i 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 attorney before commencing work or recording your Notice of Commencement. Signa C Contractor-or-Owner Builder as applicable STAFLORIDA COUNTY OF _11!):�E L_�y-,� Sworn n�� (or affirme and subscribed before me of f Physical Presence or Online Notarization this/(0 day of 2Cy i I Name of person making statement. i Personally Known OR Produced Iden�kication Type of Identification Produced&A �i- i i (*ignature of Notary Pub c State of Florida) Commission No. (Seal) k= eE�PubERgB eRFORp m MY Com io,#HH 278 oro a February pg 202 ires� REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev