HomeMy WebLinkAboutMichael Mulvaney- permit applicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce Ft 34982 vv
Phone: (772) 452-1553 Fax: Q72) 452-1578 Commercial Residential n
PERMIT APPLICATION FOR:
PROPOSED INPROVEMENT LOCATION -
Address: %5cc� [ erg i {P. F-)hYN eY r;r ; Yaey-Ce T'\ I 34945
Legal Description: f' ��-� S1U�, 91 n�L p& s5-+a) Lot S`i
Property Tax ID #: L-00 - 06 E 1 ' 000r Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front
Back: Right Side: Left Side:
DETAILED DESCRIII"ION OF WORK;
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CONSTRUCTION INFORMATiou
itiona I wor k to e pe orme un d er t is permit — checF--all that
apply-
Mechanical Gas Tank , Gas Piping Shutters Windows/Doors
Electric _ Plumbing _ Sprinklers Generator Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
Name 1AA i , k MkKA�! .6,0,14
Address:• D 1 r
_City:• ...ILI. ed State: l
Zip Code: 34ci `i Fax:
Phone No.--)
E-Mail:
Fill in fee simple Title Holder on next page [ if different
from the Owner listed above]
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Name: LtJ+?c+ --,-jinn �e_
Company: - L
Address: 2f7 q3 'SWl Lk tc �ACt4 5'�
City: B2d SLa ni L:'a.C1 State:
Zip Code: 3`{9S 3 Fax:
Phone No 9ff
E-Mai! C .c►r1 �SGi , ` �'�
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State or County License D -LD0 a9 55I
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER: , Not Applicable
Name:_
Address:
City:
Zip:
Phone
State:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:_
Address:
City:
Zip:
Phone:
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
Net Applicable
State.
BONDING COMPANY: Not Applicable
Name:_
Address:
City:
Zip: Phone:
OWNER/ CONTRACTOR AFI'll 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 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 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.
Signature of Owner/ Lessee/Contractor as Agent for Owner ISignature of Contractor/License Holder
STATE OF FLO IDA f STATE OF FLORIDA
COUNTY OF , I,�cV e COUNTY OF 5S-- U-, l ---
The forging instrument was acknowledged before me
this A0 day of 2060 by
(Name of person acknowledging)
{Signature of Notary Public- State of Florida }
Personally Known X— OR Produced identification
Type of Identification
Prod aced
The forgoing instrument was acknowledged before me
this Q ] day of fr- r 4 20 30 by
(Name of person acknowledging }
(Signature of Notary Public - State of Florida )
Personally Known OR Produced Identification
Type of Identification
roduced
LISA R
Commission No.
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SUPERVISOR
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COUNTER
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REVIEW
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DATE
RECEIVED
DATE
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JOSEPH E. SMITH, CLERK OF THE CIRCUIT COURT - SAINT LUCIE COUNTY
FILE # 4676428 OR BOOK 4384 PAGE 2326, Recorded 02./19/2020 02.55:25 PM
NOTICE OF COMMENCET.,4ENT
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