HomeMy WebLinkAboutBuilding Permit ApplicationSUPPLEMENTAL CONSTRUCTION LIEN LAIN INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
BONDING COMPANY: Not Applicable
Name:
Address:
Address:
City:
City_
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFF€DVIT: 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 Hoare 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; your Notice of Commencement_
Rev. 8/2/17
Signature o Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDAj
COUNTY OF :�J L � G
STATE OF FLORIDA N
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COUNTY OF
The fn ing instrument was acknowledge efore me
this zday of 20 by
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this � day of i q 20 � by
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Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced r/ `
( ature of Notary Public- Florida }
�,- Erik Nernoga
{§fgn`ature of N tafy Public- S rids } Erik I+�emo a
Commission No. IssIon I GG101442
_ ,� Commission # GG101442
Expirm May 4.2D21
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Commission No. _ = a I& May 4, 2021
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17
i
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
s
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce Ft 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: 4703 JUANITA AVE
Legal Description: HARMONY HEIGHTS ADDN NO 3 BLK B LOTS 19 AND 20
Property Tax ID #: 1431-703-0039-000-7 Lot No.
Site Plan Name: Block No. 3
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
REPLACEMENT OF 40 GAL ELECTRIC WATER HEATER
[CONSTRUCTION INFORMATION:
Additional wor to be oerformed under this permit— check all apply:
E]HVAC I11 Gas Tank ❑Gas Piping Shutters a Windows/Doors
11 Electric 21Plumbing Sprinklers Generator U Roof C Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ 850 Utilities:0Sewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
NameMelesio Chino
Name: STOYAN STOYANOV
Address:4703 JUANITA AVE
Company: EUROELIT INC
,City. FT PIERCE State:FL
Address: 6129 NW DROPHY AVE
Zip Code: 34946 Fax:
City: PORT ST LUCIE State: FL
Phone No.772-672-0757
Zip Code: 34986 Fax:
E -Mail:.
Phone No. 772-777-0010
Fill in fee simple Title Holder on next page ( if different
E -Mail: EUROELITINC a7YAHOO.COM
State or County License: CFC1429089
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.