HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE,INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED v
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Building Permit Applicatiori AUG 21 2019
Planning and Development Services Permitting Department
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982 St. Lucie County, FL
Phone: (772)462-1553 Fax: (772)462-1578 Commercial
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION
Address: 2224 N 53 ST
Legal Description: HARMONY HEIGHTS ADDN BLK M LOTS 15 AND 16
Property Tax ID#: 1431-701-0228-000-3 Lot No. 15 -16
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Site Plan Name: Block No. M
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:,
CONSTRUCTION INFORMATION:
Additional work toe e orme under this permit—check a appy:
CIHVAC 1.Gas Tank E]Gas Piping _Shutters Windows/Doors
Electric Plumbing Sprinklers Generator Roof Roof pitch.
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ Lobo. (X) Utilities: Sewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name ERM INVESTMENT GROI.1P Name: .IOHN S MORALES
Address: 5830 WHIPPOORWILL LANE Company: STANISLAUS ENTERPRISE INC
City: PT.STLUCIE State: FL Address: 5830 WHIPPOORWILL LANE
Zip Code: 34987 Fax: City: PT.ST LUCIE State: FL
Phone No.772-342-4744 Zip Code: 34987 Fax:
E-mail:SEICONI @GMAIL.COM Phone No. 772-342-4744
Fill in fee simple Title Holder on next page(if different E-Mail: SEICONI @GMAIL.COM
from the Owner listed above) State or County License: CGC1510671 /CCC13277E
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/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: Name:
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 COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOUJINTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NgrTicr,OF COMM CEMENT."
Signa u e of Owner/Lessee/Contractor gent for Owner SignaturIF
Cont ctor/Lice a Holder
STATE OF FLORIDA STATEFLORIDA
COUNTY OF - Pr COUNTY OF
The for ping instrument was acknowledged before me The for ping instrument was acknowledged before me
this day of ay�-� 20_kg by thisday of px.�j,,e_ � 20��
Name of person making statement. Name of person making statement.
Personally Known X _OR Produced Identification Personally Known X OR Produced Identification
Type of Identification Type of Identification
Produced ' Produced�2_,,
(SI of Notary? e of Notary Public-Sta
4W Notary Public State of Florida �.> Notary Public State of Florid4 is
Commission No. ;I'
Deni pins Commission No. f ,�e-�n,�$ge Robbins
My CortlN do GG 280183 (J1��ldmmission GG 2801al3 t
ap Expires 11/28/2022 61 a�O f� M�d� Fatpirea 11/2812022 t
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 211119