HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: a,1 QAA ab Permit Number:
-,, _ s -,. TM RECEIVED
'
Building Permit Appli ati&AB 2 8 2020
Planning and Development Services ST. Lucie County, Permitting
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT TYPE:SPECIALTY PERMIT
PROPOSED IMPROVEMENT LOCATION:.
Address: 2401 RIVER HAMMOCK LANE
Property Tax ID#: 3404-313-0011-060-8 Lot No.4
Site Plan Name: Block No.
Project Name: RIVER HAMMOCK PROJECT-WATER INSTALL.
DETAILED DESCRIPTION OF WORK:
SET WATER METER TO EXISTING SERVICE AND RUN 1"LINE TO HOUSE AND TIE WITH COPPER ABOVE GROUND
LEAVING JOINTS EXPOSED FOR INSPECTION.
CONSTRUCTION INFORMATION:
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:$ $544.00 Utilities: _Sewer _Septic Building Height:
,OWNER/LESSEE: CONTRACTOR:
Name DENISE CROSS Name:CITY OF PORT ST LUCIE UTILITY SYSTEM.
Address:2401 RIVER HAMMOCK LANE Company:
City: FORT PIERCE, FLORIDA State:_ Address:900 SE OGDEN LANE
Zip Code: 34981 Fax: City: PORT ST LUCIE State:FL
Phone No.(786)348-7372 Zip Code: 34983 Fax:
E-Mail: Phone No(772) 873-6400
Fill in fee simple Title Holder on next page(if different E-Mail UTILITYWATER@CITYOFPSL.COM
from the Owner listed above) State or County License 25597
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
If value of HVAC is$7,500 or more,a RECORDED Notice of Commencement is required.
rSItJPPL'EIVIENTAL.CONS�TR111 r .N`LIE.N LAW INF'Q' AM', „
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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YO LEN AN ATTORNEY BEFORE RECORDING YOUR NOTIM OF COMMENCEMENT."
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Signature o Owner/Le see Contractor as Agent for Owner Signature of Co tractor/License Holder
STATE:OF FLORIDA - STATE OF FLORIDA
COUNTY OF SF, I.I,I,C'AW COUNTY OF St Lucie
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this QZ day of r 20_Uby this 04 day of February 20 go by
hayl f 0-0, U Brad Macek
Name of person making statement. Name of person making s te(pp~•-e, AANETTE_TF,IOM s
SON
='_°• `�: Notary Public-State of flori
Personally Known VI OR Produced Identification Personally Known x g',P d Ia�RGjrj APq ggq
Type of Identification Type of Identification ;socc.°a°,` My Comm.Ecpires Oct 14,20 0
Produced Produced
"������ Bonded through National Notary-As
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ignature of Notary g blic- tatp�ffiorida) JEANETTE THOMPS N ( ture of Notary, u is t to f Florida)
min
Notary Public-State of tori ��,„ `� `
SON
Commission No. -• i :•�eaWmmission #GG 037 q4om ission No. ��` � B' (Seal) `'i1MPf Fl
My Comm.Expires Oct 14,2020 _ ° ''^" ' '� ate of Florida
,,�'���i i;oa•° : nn�rntivnr a GG 037064
Bonded through National Nota y Assn.
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETA SEA TU RTL
COUNTER REVIEW REVIEW REVIEW REVIEW- REVIEW E I -
DATE
RECEIVED
DATE
COMPLETED
ev. 2/7/19