HomeMy WebLinkAboutBuilding Permit Application I
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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: I l'22—LS Permit Number:
® RECEIVED
Building Permit Application wov2:2 2019
Planning and Development Services
Building and Code Regulation Division Permitting Department
2300 Virginia Avenue,Fort Pierce FL'34982 f= hR I u
Phone:(772) 42-1578 Commercial Residential
Fax:(772) 6 —����---
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED �IUIPRQUEMENT LOCATIQN f � Yy _r t tom- f
Address: �r��t'o W i l i-Rt~✓'f�S
Rb
Legal Description:
Property Tax ID#: ` `f ovZ3`-7��— ®O 13` 000 7 Lot No.
Site Plan Name: Block No.
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Project Name: 1 ePzsoIj
Setbacks Front Back: Right Side: Left Side:
,•f ,C -s'�r �... p'y i;;GA x x,n h....'4 ';- s�-a fry r Yk .� '' • t 'C'. Sxb.,c' �,*',- fx 7� f�a x� k
DE'I`+AILED DES+ R1P71QN OF 1VORK
R VrRE l�lTc�( (3o L-6Ts, A-DD ` P���ss (!AAS) 1-�DD �tiD�2C�BiN
r u��17/ G bl bISPasAI DCN
AV-) o �2 cA-B �� Sf� A-�ff EP\
GAS C( Y,7"0P 1
�
.f&
ec a app y:
Shutters ❑W..irn.�do�ws..s.S./D_.4_o.o;.r..s
Electric Plumbing Sprinklers 0 Generator Roof .
,�.R..aootf4�p�.t i.t1.
"c.`-h.6
Total Sq.Ft of Construction: 5 Ft.of First Floor:
Cost of Construction:$ � OO Utilities Sewer 0 Septic Building Height:
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CONTRACTOR = �
O IUtNER_IESSEE
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Name IZSom Name: ARTHUR ENGELMANN
Address: la ((, AW I Company:ACCURATE ELECTRICAL CONTRACTING, IOC
City: H i-M C rrl State: FL Address: 71,93 GULLOTTI PLACE
Zip Code: Fax: City: PORT ST.LUCIE State:FL
Phone No.
12— C'72-$3— O.S.S3 Zip Code: 34952 Fax:
E-Mail: Phone No.772-878-9171
Fill in fee simple Title Holder on next page(if different E-Mail:
ACCURATEELECTRICPSL@OUTLOOK.COM
from the Owner listef above) State or County License:
EC0003072
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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DESIGNER/ENGINEER: Not Applicable MORTGAGE'COMPANY: NotApplicable
Name: Name:aRTNURENGELMANN !_
Address: Address:
City: State: City: PORT ST.LUCIE State:
Zip: Phone Zip: Phone: i
EEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
AddresS:7193 GULLOTTI PLACE Address:
City- City 'I
Zip; Phone: Zip: Phone: 1
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 accessary 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 k or recQrding your Notice of Commencement_
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Signatur wner essee/Contractor as Agent for Owner Signature of Contra r/License Holder
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STATE OF FLORIDAlov STATE OF FLORIDA
COUNTY OF 1_,e" //
COUNTY OF
The forgoing instr ent was knowledged before me The forgoing inst�s knowledgge�d bbefore me
this day of ��-�. 20�by this,,?,,day f 2 by
Name of persTi making statement Name of peri n ma mg statement
Personally Known_ R Produced Identification Personally Known /---OR-P'raduced ldenti cation
Type of Identification Type of Identification
Produced Produced
SSE'C
(57ignature of Notary Public-St O1~ iw �, �• (Signature of Notary Publlc-Stati fff Fl. ' _..'V r
Commission No. a 1f�aG t 07 Commission No, =* : ��Y(SgaIL
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2:•o `�4y,O� WG 137101;
rdB toc � � ,y•2
.* ••ilponded��e'I'�,'•O�•: i O�•°dam$Q ��el;�p�ti
/j� ,Ai��'••.., ••OF `��� !, / ••.�bliC nay �0,��
REVIEWS FRONT Z� $i 11 'RVtSOR PLANS VEGETATION SEA rT` S VE
COUNTER REVIE REVIEW REVIEW REVIEW REVI /rli;#11 III
JEW,
DATE
RECEIVED
DATE
COMPLETED
Rev.8/Z/17