HomeMy WebLinkAboutBuilding Permit applicationSUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
_ Not Applicable I MORTGAGE COMPANY: _ Not Applicable
/Aaaress: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: Not Applicable
Name: n �., e.
mua ress: I Address:
City: I City:_
Zip: Phone: I Zip:
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---• —•v —�•- • •�•�•..•A • rr•vvi i s mppucacnon is nereoy 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.
which is In Countmakes
awith any applicable lHomeaOwners Asssociati nl rwill
esabylaws or the
covenants that build
ay restrict subject
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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER MAN ATTORNEY BEFORE RECORDING YOUR NOTICE OF "
CO CEMENT.
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6acti/License
Signature of O r� / Lessee/Contractor as Agent for Owner
Signature of Con Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF ST LUGIE
COUNTY OF ST LuaE
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this 10 day of June 20 b y
this io day of Jun. 20 by
//�� � J �
Name of person making statement.
Name of person makmg statement.
Personally Known OR Produced Identification
Personally Known — OR Produced Identification
Type of Identification
Type of Identification
Produce
Produced
i ture o Notary Public- State �off,.Florida )
Commission EP94" 8 "
(Sig ature of Nottarry/Public- Satate orida j
NO- / (Seal)
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Commission No.r 1— � p 4 (Seal)
,7
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.
Nicole McMahon
Commission l FF945187
Expires: November 19, 2019
Nicole mcmanon
Commission ! FF945107
Expires: November 19, 2019
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 06/10/2019 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 xxx
PERMITTYPE:
PROPOSED IMPROVEMENT LOCATION:
:917r k __._____
Property Tax ID #: 2326-600-0033-000-9
Site Plan Name:
Project Name: Kugler Residence
DETAILED DESCRIPTION OF WORK:
Dedicated 220 circuit for hot tub
CONSTRUCTION INFORMATION:
Lot No.
Block No.
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
Total Sq. Ft of Construction: > Sq. Ft. of First Floor:
Cost of Construction: $ ((0 Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Robert Kugler
Name:Anthony Diodato
Address:8617 Cobblestone DR
Com an ALT Electric, Inc.
P V�
City: Fort Pierce, State: _
Zip Code: 34945 Fax:
Phone No.
Address:3108 SE Mall Terrace
City: Port St Luice State: FL
Zip Code: 34984 Fax:
Phone N0772-528-5056
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
If vaLm of �nnctr.N.... :� l�enn -
E-MailAnthonydiodato@gmail.com
State or County License EC1 3007369
-—-----•• •••�•_ �.. nvuce ur a,ommencemen[ Is regwretl.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.