HomeMy WebLinkAboutGentile Permit App 7508 Santa Clara BlvdAll 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
PERMIT TYPE:
Address: 17V b
Property Tax ID #: 130k
Site Plan Name:
Project Name:
CATION:
a, �T PiME
00,519 - ow - r
DETAILED DESCRIPTION OF WORK:
T� 4.11 J _ 1100 /ia L+. U h AAA
"ION INFO' ' •
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: $ 1� lhJ®, Utilities: —Sewer _Septic
Lot No. 41
Block No. 72 _
Windows/Doors
Roof Pitch
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name e �SSQ �/ OI')
Name:
6XM �USL
Address:t� 7� 9 SGr/► Q a �e
Company: ,
City: /- f • 1'Pree, State: %-
Zip Code: 3 �IS� Fax:
Phone No. 772 l 71 l f.2,
����i✓
Address:
City: i IC AJA State:
Zip Code: 301 Fax:
Phone No 7i`� a
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail
' y
State or County License
If value of construction is $25uu or more, a KtLUKUtU ]Notice at I., rcyun cu.
if value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAM( INFORMATION:
SIGNER/ENGINEER: ` Not Applicable
RTGAGE COMPANY: _ Not Applicable
Nam
Name.
Address:
Address:
City: State:
City: State:
Zip: a
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 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 IMPROYEMENTS 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."