HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Numb E 4=--c."2�-
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Building Permit Applic tion MAR 10 2020
Planning and Development Services Per i' �D
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Building and Code Regulation Division St. Lucie Cowtv, FL
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT TYPE:
"PROP: 'b'lM'PR- V1, T- 1,
0S E'MEA
Address: 5605 Spruce Dr.
Property Tax ID#. 3402-610-0137-100-6 Lot No.20
Site Plan Name: Block No. 74
Project Name:
,,DE-SCRIPT ,OF WORK DETAILEDION-, 'J
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ON INFORMATION
CONSTRUCTI
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:$ Set Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE..:E CONTRACTOR
,
NameVaga's Home Construction Inc. Name:Abner Leyva
Address:904 Osceola Dr. Company:Leyva Plumbing Services
City: Fort Pierce FL State: Address:1502 SW Meridian Ave
Zip Code: 34982 Fax: City: Port ST Lucie State:FL
Phone No.772-240-3648 Zip Code: 34953 Fax:
E-Mail: Phone N0786-586-6928
Fill in fee simple Title Holder on next page if different E-Mail leyvaplumbing@yahoo.com
from the Owner listed above) State or County License CFC1 425666
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.
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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 YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NO CE OF COMMENCEMENT."
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Signature of Owner/Lessee/Contractor as Agent for Owner Sign ure ontr c or/Li nse Holder
STATE OF FLORID - STATE OF FLORIDA
COUNTY OF V COUNTY OF ��r•
The forgoing instru(nent was acknowledg before me The tgoing instrument was acknowledged before me
this )U day of b n�ice-P):• ,20�� by this l9 day of f" \A, ,20'1d by
1P n 0�--,' o V 1 ate- &&X-Ct s Irn
Name of person making statement. Name of person m�aki g- statement.
Personally Kpown OR Produced Identification ✓ Personally Known C Prmtdt knlesoifkatio
Type of Iden ific Type of Identificatio ^. Javier antana
Produced Produced �-; My Commission GG 239744
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(Signature of Not IIIIIIii ( nat r of N' tary Public-State of Florida )
si"Wn v!I9nd AMON XU PWBy.
Commission No. £Z0Z'9UP�W:S32i1 al) Commission No. (Seal)
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 217119
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WATER COMM ST.LUCIE COUNTY UTILITIES-P.O.BOX 728,FT.PIERCE,FL 34982
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SEWER RES NAME
METER SZ. M/F
/ IRR ACCT.#
$ ( C SERVICE ADDRESS __=l_0Q5 ���USC Q-
SECURITY DEP
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SERVICE FEE
SAME DAY FEE
SUBDMSION f�-C=- LOT� BLOCK
OVERTIME FEE
METERINSTALL. BILLINGADDRESS 9oq 05Ce-An ar
CFC/WATER ► � f.t CPJ� -2,41
FPUA CFC PHONE# 72-a �l 36 Z8 MOVE IN/CLOSING DATE
CFC/SEWER-
GUAR.REV. This application hereby request and authorizes the Utility to render water and/or sewage disposal
services to the premises described above in accordance with the Utilities present or future rates,
LATERAL rules and regulations,which by reference are made a part of this contract.Applicant agrees to pay
the Utility promptly for such services in accordance with the established rules and regulations.
$ C TOTAL CUSTOMERS DEPOSITS ARE NON NEGOTIABLE OR TRANSFERABLE.
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CUSTOMER SOCIAL SEC/
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SIGNATUR1�O C5 0( i: y FED ID :et -59
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NAME OF SPOUSE SPOUSE SOCIAL SEC. j
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OFFICE USE ONLY A
DATE RECEIVED I CASH @w,,# l�A RECEIVED BY