HomeMy WebLinkAbout6 & 8 Villa Del NorteAIIAPPLICABLE I BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2jOO Virginia Avenue, Fort Pierce FL 34982
Phone: (772\ 462-1.553 Fax: (772) 462-1578 Commercial Residential
Property Tax lD #:
Site Plan Name:
Lot No
Block No.
Project Name:S
Additional work to be performed under this permit - check all that apply:
_Mechanical
4!tlectric
_ Gas Tank
_ Plumbing
_ Gas Piping
_ Sprinklers
_ Shullters
_ Generator
_ Windows/Doors
_ Roof _ Pitch
Total Sq. Ft of Construction:Sq. Ft. of First Floor:
CostofConstruction:S)'WUtilities:-Sewer-SepticBuildingHeight:
-
lf value of construction is 52500 or more, a RECORDED Notice of Commencement is required.
lf value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
PERM IT TYPE:
Company:
Address:
Zip Code:
Phone No
E-Mail
State or nty License EC L<ad y*;-r
E-Mail: Ja e ur'pJ I v X,' -16)le,raial,. {-* l{ zS t
Fill in fee simple Holder of, next page ( if different
from the Owner listed above)
,/'{
CONSIRUCTION I N FORMATION :
PROPOSED IM PROVEM ENT LOCATION :
DETAILED DISCRIPTION OF WORK:
DESTGNER/ENGINEER:
-_ Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDTNG COMPANY: _Not Applicable
Name:
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 grantine a oermit will authorize the permit holderto build the subiect structurewhich is in conflict with anv dpplicable Home Owfiers Asiociation rules, bvlaws or and covenants that mav restrict 5r prohibit suchstructure. Please consult with riour Home Owners Association and review'your deed for any restrictions raihich may apply.
ln consideration of the granting of this requested permit, I do hereby agree that lwill, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie CountyAmendments.
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
,IWARIUING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYIIUG
TWICE FOR IiIPROYEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT iIUST BE RECORDED AND
POSTED ON
WITH YOUR
THE JOB StrE BEFORE THE FTRST |NSPECT|ON. tF yOU TNTEND TO OBTATN FTNANCING, CONSULT
RECORDING YOUR NOTICEAN
Signature of Owner/ Lessee/Contractor as Agent for Owner
Iii:EL":;'l as acknowledged before mezo4 by
Personally Known V/ OR Produced ldentification
Type of ldentification
Produced-
STATE OF FLO
COUNTY OF
Commission No.
(
e of person making statement.
(Signature of No Public- State of Florida )
Signature of ContraEtor/License
STATE OF FLORIDAO N , ,iijururicjr-"'-'N) : /L L".,k
The forgoing instrument was acknowledged before me
*tau l'' mN
Name of person making statement.
this _ day of
Personally Known I OR Produced ldentification
Type of ldentification
Produced
ry Public- State of Florida )
REVIEWREVIEW
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
Address:
City:
zip:
City:
Address:
Citv:
Zip: _ Phone:__zip:
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