HomeMy WebLinkAboutGentile Corp 2408 Holiday Ct ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential V/
PERMITTYPE: WlY.t,
PROPOSED IMPROVEMENT LOCATION:
Address: ® co�xm n, N01'G5
Property Tax ID #: 2411 _ (605" 0019. o®® - S Lot No. -
Site Plan Name: kam L 1bto` n �' *m alm Block No. "7
Project Name: Qi) T
DETAILED DESCRIPTION OF WORK:
I CONSTRUCTION INFORMATION: I
Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters
Electric _ Plumbing _ Sprinklers _ Generator
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 4000.0 Utilities: —Sewer —Septic
V Windows/Doors
Roof Pitch
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name
E.tt?
Name:
r�
RO-LIQ i
Address:2®19
RovmmPT
Company:
T1L _ CORP.
City: F PkT P
Zip Code: 6%
Phone No. -t t-7L'
-ERCC. State: r 4.
Fax:
g' 3101
Address:
3160 TUi2�.2��t-E CoVE
City: Y�l
Zip Code:
Phone No
1�X pEAC-H State: FL
Fax:
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail "" r m . h{,
State or County License
11 vauc uwnMu uuwn 1n ?zauu or more, a KtLUKULU Nonce oT commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
PLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIG ENGINEER: _ Not Applicable
RTGAGE COMPANY: Not Applicable
Name:
_
Name.
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: P
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 bylaws
rules, 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 NOTICE OF COMMENCEMENT."
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Out
Signature of Owner/ Lessee/Co tractor as Agent for Owner
Signature of Contractor/Li ense Holder
STATE OF FL
STATE OF FLOIID
COUNTY OF OLQ Vln
COUNTY OF
The f r oing iUtr� ent was acknowledged before me
this day otLJ 20 by
The f going i t{�ent as acknowledged before me
this day 0f�V1� ,t�� 20� by
e
g
!J 5cNZ 0_9Z-Z` W
Name of person making ement.
Name of person makin statement.
Personally Known V OR Produced Identification
PersonaPlly Kn n OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signature of t P i- t t f FI rid
(Signatur f o
ZZ0Z/bZ/0L sandx v+o
Commission N Saw? EE) uoiscimwo0,(3S BEM
vs'" Notary Public State of Florida
Commission No. � `� Ma bell Martin(I�eal%
zaulUeN lla4AjeN dt
ol j apuJo ateiS o!Ignd tie3oN a A
It � � My Commission GG 270975
ytof Expires 10/24/2022
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 1 =-�.,�,w•,,n,=w�r�n
ao Y "t ra NoPublic State of Florida
Marybell Martinez
:' My Commission GG 270975
1 Ex ires 10/