HomeMy WebLinkAboutBuilding Permit Application Y �y
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �Q f ���
Date: Permit Number:
AECEIVCD
Building Permit Application 2027_
MAR 2
Planning and Development Services 1e County
St.Lu
Building and Code Regulation Division Commercial Residential e ittin9
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 CBDG Funding
PERMIT APPLICATION FOR:
�6N�. a
PROiP 2E— 1�[VIPRO"~UEM'ENT LOCaT[.e N:
,y j
Address: 4
Property Tax ID#': �,��� a l i - OC 62 5-C'C)O cSr Lot No.
Site Plan Name: Block No.
Project Name:
ea
flETAILED DLC«R�IPTION OF WOR�K: �' � �
ald V46
L 1 c,h 30 0 c) F S X- tom/ F I sae✓
New Electrical Meter Second Electrical Meter (Affidavit required)
i
CCa3N�TRUCTON 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: Sq. Ft. of First Floor:
Cost of Construction: $ /" �) `��C� Utilities: —Sewer —Septic Building Height:
UWNER/lE-�SSEE; m=MCONTRACTOR:
Name z rr Name`.. ':
�J.� 6- ' tell '_ P., ,y;� .a. �s v��Address: a�� Z1 Com a.n, [�> 1 I"
City: / f �v�.A "- " State: Address: ''
Zip Code: ?y 9 q. Fax: City: T���_ State:/%/
Phone No. 3 E- Zip Code: _3ygJ_ Fax:
Mail: Phone No
Fill in fee simple Title Holder on next page(if different E-Mail
from the Owner listed above) State or CountyiLicense C, 16 1 c?
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 CONSTRUCTION LfEN LAW IN'FC�}R+MATION:
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 attorney bef re commencing work or recording our Notice of Commencement.
l�
Signature of Contractor-or-Owner Builder as applicable
STATE OF FLORID
COUNTY OF D-7— LUC,
Swor to(or affirmed)and subscribed before me of fcal Presence or Online Notarization
this C.4ay of /7 4,(eega. ,20AZby
Name of person making statement.
Personally Known G1--OR Produced Identification
Type of Identification Produced
(Signature of Notary Public-State of lorida
HEATHER BURFORD
Commission No. Seal °WP&�''
(Seal) ;_W
41 Notal Pssion#NH 21F8910a
- Comm: ire,
�OMPIoc ly Commission Exp
February 06,2026.
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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