HomeMy WebLinkAboutPermit for 6505 Citrus Park BlvdAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: - l �)- 10 Permit Number:
Building Permit Application
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 APPLICATION FOR:
FROPOSEQ INPROVMENT LOCATION
Address: �~ C� 1 1 , cv >L 61 Vd
Legal Description:
Property Tax ID #: – LP - G - LF' Lot No._
Site Plan Name: Block No.
Project Name:
Setbacks Front Back:
Right Side: Left Side:
li j Y -c -rc) ' l on I c-�a scF r to A h
conal work to 0e pertormeci unoer
permit — check all that app
_Mechanical � Gas Tank _ Gas Piping Shutters � Windows/Doors
_ Electric Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $ QJ 0C) . UCS
Sq. Ft. of First Floor:
Utilities: —Sewer Septic Building Height:
ih a)g Po pe nc
Address: LJ:' C)`J C��rUS PGrf"JL 61Vd
city: FC State: P -
Zip Code: Y-IciS l Fax:
Phone No.
E -Mail:
Fill in fee simple Title Halder on next page ( if different
from the Owner listed above)
Name:: n L LC
Company:i�►�1[�"+S Chi 1� .fir'
Address: U905CID, 1C. Ll CK,
City: Pr ( -1 ? C(0e State:,-E_L
Zip Code: Fax: i lQ- �Oi -s39
Phone No'] 01-lq I
E -Mail C'001 QL,f—Y c 1 j
State or County License CA � 19001:1
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER: — Not Applicable
Name:_
Address:
City: _
Zip:
Phone
State
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone: -
Not Applicable
State:
FEE SIMPLE TITLE HOLDER:
Not Applicable
BONDING COMPANY: Not Applicable
Name:
STATE OF FLORIDA
Name:
Address:
The forgoing instrumeoLt was acknowledged before me
Address:
City:
this day of - y
City:
Zip: Phone:
{Name p SOCA,ac _owl d 4ijf EESTOLL
�Y pL ''
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 wid authorize the permit holder to build the subject structure
which is in conflict with any applicable Horne 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 Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
--m encinp work or recordinpr vour Notice of Commencement.
Rev. Jf1U14
Signature ontractor/Licen FekEer
Signatur of Owner/ Le s4aCofkractor as Agent for Owner
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF hi hj�ar) ,ef
COUNTY OF I h?S I A ji A k -
The forgoing instrumeoLt was acknowledged before me
The forgoing instrurne t was acknowledged before me
20
this G , day of *� fJAry- 20�gby
this day of - y
{Name p SOCA,ac _owl d 4ijf EESTOLL
�Y pL ''
(Name of son a
Y'p�' CATl E f EE STULL
Notary Putti;c - S1aie of Florida
. ': Nota y Putil tt a Florida
e COMM ss C� GG 15551?
2022
.°
G
6,� Cp,rr ss o� � GG �&3i1
F°
M7p Come. Ez es baa 27
; ` Eza res is 27 2022
[Signature - e o tori a
EI
{Signature of Nota PubYr -
V/1 OR Produced Identification
Personally Known OR Produced Identification
Personally Known
Type of Identification
Type of Identification
Produced
Produced
Commission No. (Seal)
Commission No. (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. Jf1U14