HomeMy WebLinkAboutPopeyes St Lucie Co Permit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:"3 25 ZcZO 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
PERMIT TYPE: Irrigation
PROPOSED IMPROVEMENT LOCATION:
Address: 4946 S 25th St Fort Pierce, Fl 34981
Property Tax ID #: 3404-603-0002-000-4
Site Plan Name: Irrigation Plan
Project Name: Popeyes
DETAILED DESCRIPTION OF WORK:
Installation of Irrigation System
Lot No.
Block No.
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit - check all that apply:
Mechanical Gas Tank Gas Piping Shutters____ ____ Windows/Doors
Electric Plumbing i Sprinklers___ ____ Generator Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 2400.00 Utilities: Sewer Septic Building Height:
OWNER/LESSEE:
Name E germ LLt, c
Address: IA )1 S. LJhi)e_'Clo.13e1
City: aulhkke.
Zip Code: 71,20901 Fax:
Phone No. 5o4 - (084-1.1,U
6 Asa) eeri
State7V_
E-Mail: reittiborne-ellerdad. coin
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR:
Name: Joshua 11/1norp
Company: Blue H20 Irrigation & Landscaping LLC
Address: 1743 Huntington Ln. Suite #105
City: RockledgP StateFI
Zip Code: 32955 Fax:
Phone N&21-338-0875
E-Mail Josh@blueh2o.co
State or County License SCC131152070
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.
No Applicable MORTGAGE COMPANY:
Name:
Not Applicable DESIGNER/ENGINEER:
Name:
Address: Address:
City: State: City: State:
Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Not Applicable BONDING COMPANY:
Name:
Not Applicable
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 will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners tion rules, bylaws or an covenants that may restrict or prohibit such
structure. Please consult vdth your Home Owners Association and review your deed r 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 amcurrerscy review; room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
“WARRENC TO OWNER: YOUR FARURE TO RECORD A NOTICE OF COMMENCI3E7JT MAY RESULT IN YOUR PAYING
TWEE - moans TO YOUR PROPERTY. A NOTICE OF COIWENCENIENT MUST BE RECCIRDED IWO
JOB SITE BEFORE TIE RRST INSPECTION., IF YOU INTEND TO OBTAIN FINANCING, CONSULT
OR AN ATTORNEY BEFORE RECORDING YOUR IKITICE OF COMMENCENENT.°
Signatui4 Ownelt Lessee/Contractor as Agent for Owner
STATE OF FLORpkit%
COUNTY OF -.1 PI R A-
Signature of Co rac r/License Holder
STATE OF FLORIDA -r-
COUNTY OF 1.---revar c I
The forgoing instrument was acknowledged ,before me
this !,).... day of lAA RI ck- 2C). by
The forgoing insbryient welacknowiedged before me
this C", day of limay-u ) , 20221 by
)asiook
Name of person making statement.
Personally Known V " OR Produced Identification
Name of person makiy.atatement.
Personally Known OR Produced identification
Type of identification
Produced
Type of identification
Produced
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