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Home My WebLink AboutBUILDING PERMIT APPLICATIONAll APPL CABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ,, II�rX� Date: `l y PermffNumber:ADS '©' f U SCANNED BY -- Building Permit Application St. LucieCrnlnhr Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential PERMIT TYPE:` ©NL PROPOSED IMPROUccEMENT LOC-ATION: Address: PropertyTax ID #: l / �' .� ,' /� /�' QQ©� Lot No. Zrss Site Plan Name: Block No. nn Project Name: (� DETAIL -D DESCRIPTION PF WORK: 12 y 2b',l )o Sla-6 .J " 12" COa-k-. - I i1fl, 2 # S fe6. ( C032 3 ®oo CG, 6-aw-O& CONSTRUCTION I INFORMATION: Additional work to be performed under this permit —check all that apply: _Mechanical Gas Tank _Gas Piping _Shutters —Windows/Doors _ Electric _ Plumbing _ Sprinklers _ Generator _ Roof' Pitch r Total Sq. Ft of Constructions:_ 32— ` Sq. Ft. of First Floor: 2 Cost of Construction: $ Lt SO - ©G Utilities: —'sewer _Septic Building Height: OWNER/LESSEE: CONTRACTOR: NameNOV) vL' /`1!fr Le—(l Name: 11k2— Address:.s813 ..SL vxb"fV- C: ( Company: ��-CODLqCC2. I t7 S City: State: FL Zip Code: Fax: �7 Phone No. 2 Yd �� S" I23.9_ Address: 2?0 2f✓—c� . City: S' Lv State:�C- Zip Code: ��ia 7 Fax: E-Maik Phone No %2' 2 Fill in fee simple Title Holder on next page (if different v� E-Mail 3'T C Cow! ��C_ flu $ U (h-ol , C� State or County License from the Owner listed above) If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. . If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required. DESIGNER/ENGINEER: Name: _ Not Applicable MORTGAGE COMPANY: Name: _ Not Applicable Address: Address: City: Zip: Phone State: City: Zip: Phone: State: FEE SIMPLE TITLE HOLDER: Name: _ Not Applicable BONDING COMPANY: Name: _Not Applicable 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 is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such structure. Please consult with your Home Owners 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 YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF EFORE THE FIRST INSPECTION. IF �CCOMMENCEMENT MUST BE RECORDED AND POSTED ON WITH YOUR EN EElf OR ITAJIYATTORNEY BEFORE RECORDING YOURdW� ND TO OBTAIN OMOMMENCEMENTNCING, CONSULT Signature of n essee/Contractor as Agent for Owner Signa re ntractor/License Holder STATE O FLORIDA L 1 ST TE OF FLORIDA I COUNTY OF �-4 LL 1C le - COUNTY OF ,� • L L!Q IE. The r ing instr ment was acknowlecigodbefore me thi ay of 20( by The r oing instru ent was acknowledge before me this day of 20� by \\ � `' )f-\ 1�F 1 V e r Name of person making Aatement. Name of person making stater6rit. Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identfic ion Type of Identif Produced Produced 1 ( igna ure of I (Signature of Notary KAREN S. NIELSEN State of Florid 9tbgl�ry Public 1�;; ,KAREN S.'NIELSEN ?+° �Hs State of F(&Notary Public �� Commission N Commission No. = 2 Commission GG 207484 - = Commission # GG 207484 My Commission Expires 0 My Commission Ex ires mJuliv i4i 4VX1 - 0. une t , 2022 O ZONING REVIEWS SUPERVISOR PLANS VEGETA I COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED IF Is/ ev.