HomeMy WebLinkAboutPermit Application for 7508 Winter Garden PkwyAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: [0— [ ?__ [ 7' 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:
PRROSD IMPROVEMENT LOCATION. x� ka
Address: _71SO
Legal Description.-
Property
escription:
Property Tax ID #: 130 `1 - (DOS - DO -1S _ 000 - �,o_ Lot No,
Site Plan Name: Block No.
Project Name:
Setbacks Front Back
Right Side: Left Side:
I_ -F6C 1i* V --AE 0. S +)n I S S06, I( ) I k I C� Y'W
ionai work to be pertormeo under tnis permit - cnecK ail mat apply:
Mechanical _ Gas Tank _ Gas Piping _Shutters
Electric — Plumbing — Sprinklers _ Generator
Total Sq. Ft of Construction:
Cost of Construction: $
Sq. Ft. of First Floor:
Windows/Doors
Roof Pitch
Utilities: Sewer _ Septic Building Height:
Name}-fCZA e -If Name: fYi
It -
Address: I SO '&- '! lr f1 mpanCyr- I=(
City: F0_(_+ '_PSCCCE State: V',._.- Address: �p�03 CG1'X SIC
Zip Code: �I-�q� Fax: [ City:, �4 ti e�C Stater
Phone No. �1 a _ 333 - 9 1 S �1 Zip Code: J5 L49 `_ Fax: r1'�2- +�DS� 9
E -Mail: Phone No_11,;�- L03y— oyG 4
Fill in fee simple Title Holder on next page ( if different E -Mail cwta it 2�0 (—c) Qn-)n J . corms
from the Owner listed above} State or County License
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
.. -- ......
SUPPLEMENTAL CONSTRUCTION LEN LAW INFORMATION:
Y.
DESIGNE R/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:
REVIEW
Name:
Address:
Address:
City:
City:
Zip: Phone:
RECEIVED
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 Countyy makes no representation that is granting a permit will authorize thepermit 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 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
commencing work or recording our Notice of Commencement.
_7U-1 02 -_ Iyb ra_
Signatuur fowner/ Lest / ntractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF /
The forWing instrument was acknowledged before me
this ay of , 20_4 by
(Name of persron aLknowledging
f('2'1k___
C�
(Signature of Notary Public- Stare of Florida )
Personally Known OR Produced Identificatia
Type of Identifi ti n r T
A�'Plvr'
Edch Daniel K
Produced tWdp
NOTARY PUE
Lo STATE OF FL
Commission No.Comm#GGtC
t�:mires 5117
I
_�C_lL
Sign atu re_oj Contra ctor/L'c�en�;e?Holder
STATE OF FLORIDA t
COUNTY OF
The forVing instrument was acknowledged before me
this <L�_ ay of j,�A_ 20AJ by
�6v(m
(Name of person ,knowledgingli
(Signatue of Notary Public- State (f Florida )
Personally Known OR Produced Identificatior�i<i�rs
Type of Identifi ation t �; I<rlch -e'_"
Produced �dra'a,F#'�' PUBLIC
IDA FLOR0
gommission No. ` Yeal}:,rrr1"'=,C1L�925
t
�n A iwniairQ.* 5/-1712021
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
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