HomeMy WebLinkAboutPARROTT APPAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT TYPE:
Address:
Property Tax ID #:
Site Plan Name:
Project Name: t)"lt4. pffJ 07tc
Permit Number:
Building Permit Application
Commercial- Residential
Additional work to be performed under this permit —check all that apply:
_Mechanical
_ Electric
_ Gas Tank
_ Plumbing
Gas Piping
Sprinklers
_ Shutters
_ Generator
Total Sq. Ft of Consrru�tion: ____ Sq. Ft. of First Floor: _ OG Cost of Construction: $ 1 aJ45• VD Utilities: u Sewer _ Septic
Name_ T7dlUC 11IXT01 —
Address:(A04 gpucL Dr.
Cit. __ _' _Pi,'(,�C. State: GC,
Zip Code: 3 -[ _t2-2 Fax:
Phone No.77:7aL— 333 — 4730
E-Maii.
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
011511-11n
Lot No.
Block No.
V Windows/Doors
Roof Pitch
Building Height:
Company: MIA 4 rmet4r& W RP.(, Wtv darml
Address: /to 13 1"01'M►il\ A,*- b0 twr
City: ki la , 400i - psQ, r k, State:rL
Zip Code: 3ag31 Fax: 3A(- 7711'14a 34,
Phone No -7'7a-337- 4'f-70
E-MaiI94tm10 t7YeUSfdtrls�C __.
State or County License Qq';51?
If value of construction Is $2500 or more, a RECORDED Notice of Commencement is required.
If value of NVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
NGINEER: _ Not Applica
Name,
Address:
City: State:
Zip: ---_ - --- Phone -------
FEE SIMPLE TITLE HOLDER: —_ Not Applicable
Name:
Address:
Citiy:
Zip: _ Phone:
MORTGAGE COMPANY:
Name:
Address:
Citv:
Zip:._._-_ Phone:.
_ Not Applicab-le
State:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
Zip: Phone:
3WNER/ 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. LUCIQ I:oLnty no representation that is granting a permit wii! authorize the permit holder to build the subject structure
which in 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,
acc�s:or;1 structure,, sWinming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
"WARNINGTO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWI':I FOP 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 VOLsR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
OG�_ �•AA
ytki I��KYtC�
Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
5SATE OF FLOkiL' STATE OF FLORI —
COUNTY t; _._ �(G�LQ Y� ----- — I LOUN FY OF tVCAJCUd _
The for=oinb irlSt( indr t was acmiowieoged oefore me
this day of 2020 by
Name, of person making statement.
Per�onaliy Knowr __X _ OR Produced Identification
Type ofi_ic+envficatirr,
Produced
ignatore of N - ry Pubflc t e of Florida)
Commission � (Si6r ry Public State of Floric
�; Ashley M Antonelli
A My Commission GG 157o�r
REVIEWS COUNI ER REVIEW REVIEW
DATE
RECEIVED
COMPLE TED
1 i,� `o Cling irlstr menc was acknowledged before me
this_ day of 202f) by
SV-nX1nV -'a
Name of person making statement.
Personally Known— OR Produced Identification
Type of identification
Prodyr�d _
/ / i ....__/ Z?
iature of ary Public- State of Flori
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mission ILK CC &C7
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,NS VEGETATION SEA TURT
EW REVIEW REVIEW
j nary Public State of
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M., Comm,ss i:. •,>G 1
REVIEW