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HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED hh rl Date: %i��-� I �-� Permit NumberaaoO's V 1�0LCDE RECEIVED Bua8ding Permit ApplicationMAR 2 8 2022 Planning and Development Services St. Lti ' County Building and Code Regulation Division Commercial Residential Peritting 2300 Virginio Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 CBDG Funding PERMIT APPLICATION FOR: OEM S-�., a5-3i.�c..-4J`( •:..R"T,�'G''"JL,: S.'.a4�il.,.�: .?-y`�F�¢1�,.aS zaf,��.5'.Eti... �i ` I c� fh - ,.L �I sa'Ad tress: ,a- / 11 S , / ! �� >! r e-e+ !-0 d-' / Pl e i'Ce- F 7`- 7 Property Tax ID #: Lot No. Site Plan Name: Block No. - . Project Name: Gas a I -to Kew wkolahoi-fe jPnei�.4to r ��� �� v► -%A, C43 I E a s -fie hew i,�J �i a1 'SE'- A e-nE r 4o r e, New Electrical Meter Second Electrical Meter (Affidavit required) 4s�: ax...,,yy §u ru;.-'* T p •.-r d. r-��r,+, �P rsa q:� s. 4y' ^;rt' Y1.y'3'G'2..�y 4-y -: yy t"iyrR^^''E'r� ���.. � �•�EfP'"�- �i-3G1 ::� ��L3��,ytis�=i�. r � . Additional work to be performed under this permit - check all that apply: Mechanical Gas Tank q-TR ping Shutters-. , Windows/Doors _-,-Pond — Electric — Plumbing —Sprinklers — Generator _ Roof Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: llCa-st✓ofConstruction �3 60, c% Utilities: —Sewer _Septic Building Height: Offlfit==��i� e�.€;�'rd.A. ,�r/ -,v+' z. �€:,.,y:7 °?G,e,�ry z,,' "i,a,i�� �i�-il��y, i '�"x ,� y "'�'�'?.' r' ; F-+s ,�t''�.c `;t g_?-k�iS'..�-° =ahY�.a.-�-• r"�1�3. sk :"`,oYi=S-4 .ls r:'Si,�g . �?�TMs�3�'"+'=.ka3� .a�:r�•a-�:' Nis sE� F# _ ram i'IVame ahSut}%A Cro1RNe_A Name: ©w h,Pr %43uc1A - ddress��: ;2 )1 S 19 mil^ si-re� Company: ity: 1'-0 P) -e IL state: FL Address: Zip Code: 3 1-19 Zf�l-- Fax: City: State: Phone No. ?7;73 314 ­�Wq - AYY Zip Code: Fax: Mail: + ra uS c-kSf e YAa J t L av+1 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. i4 nl xw�y� g ^,3 �p^�t ��� �'aa ��� ^� -� �.�- yT3 .°'.Vi 1t, dic F£�,City: ��E .k`F. 'ski' Pt��� ����L^ � '. ::RFRi iir,:777 State: • • • •Phone: W M. -BONDING COMPANY: Not Applicable +•• - Address: • ° • - • • • 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 commencini?'work or recording vour Notice of Commencement. Si nature of Contractor'- or - Owner Builder as applicable STATE OF FLORIDA COUNTY OF Swotq�b (or affirmed) and s r scribed bef e of Physical Presence or Online Notarization this'_ ay of Y 2 Y 1 \va\ na)eA R 1��L i w CJ• ` Name of person making statement. Personally Known OR Pr6cluco Identification Type ofldent' icationPr uced ���, KAREN S. NI7EN �ppY F(,B ;=o State of Florida NoCommission # G (Signature of Notary Public- tate of Florida) °°'h June 12, 2022 Commission No. (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW' REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev 10/12/21