HomeMy WebLinkAbout3218 Permit ApplicationAII APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
o"t"' 4lEl 1202o Permit Number:
Builcling Permit Application
Plonning and Development services
Building ond Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462'1553 Fax (772\ 462-1578 Commercial Residentia I
PNOPOSEP I MPROVEMENT LOCATION :
n.r.rracc. 3218 CRABWOOD COURT
u' 3425-7 02-0202-000-5 Lot No
PropertY Tax lD
Site Plan Name:
Block No.
n,,^^ D.esidence
Proiect Name: Yur rr I I '
DETAILED OTSCNIPTION OF WORK:
Replace 2-gang meter located at rear of yard'
Additional work to be performed under this permit - check all that apply:
-Mechanical -
Gas Tank -
Gas PiPing -
Shutters
-
Windows/Doors
Roof Pltch
Electric -
Plumbing -
SPrinklers Generator
Total Sq. Ft of Construction:Sq. Ft. of First Floor:
Cost of Construction, S I f 4?5 . 5O Utilities: -
Sewer -
Septic Building Height:
OWNER/LESSEE: .
Name le1se !e!n Name: Kent Blosser lll
Address: 3218 Crabwood Court t/^nmnentl . Blosser Electrtc
City: Port Sanit Lucie State: _;;;;,;'P o B"V3o5
zi^ r nao. 34952a,P vvvv.
CitV: Poft Saint Lucie State: FL
phone 11s.77 2-812-4408 Zip Code:. 34985 Fax: -
g- 1y1. i 1.
ji md u n!1359@yg!go.!grn phone p6 772-337-0055
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-1y1. ; 1 nrblosser@gmail.com
State or Countv 1i5sn59 EC1300'1570
ffiS2500ormore,aREcoRDEDN,oticeofCommencementisrequired.
lf value of HVAC is S7,5OO or more, a RECORDED Notice of Commencement is required'
PERMIT rYPE: ServiCe Change
CONSTRUCTION IN FORMATION :
SUPPLEMENTAI-CONSTRUCTION LIEN LAVI/ I N FORMATION :
MORTGAGE COMPANY:
-
Not APP|icable
Address:
NcltlEERa
-
Not APPlicable
DhnnoI llvll!
BONDING COMPANY:_Not ApplicableFEE SlMPLE TITLE HOLDER:
-
Not Applicable
Address:
City:
Zip:
-Phone:
OWfVEn/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated
I certifv that no work or installation has commenced prior t'r the issuance of a permit.
st. Lucie countv maKes no representation that is granting a permit will a.uthorize the permit holder to build the subiect structure
which is in conflicr with any dpplicable Home owfrb?!'XsSociiiion iuies,-6viiwioi jnd iovenants that mav restrict or prohibit such
srructure. please consurt'*iti,"ri",li Home owneis'hsi;;'.tii,;i;;il'revi6w'y;ija deed for anv restrictions rdhich may apply'
ln consideration of the granting of thrs requested permit, ldo hereby agree that lwill, in all respects, perform the work
in accordance with the ipprou6d plans, tfre Florida Building Codes and St. Lucie County Amendments'
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessorv structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
Signatu?e of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF S*. \,uue
Name of person making statement'
/
Personallv Known V OR Produced ldentification
DATEI.,nio, ttt.t I
_ffiv.zlt/tJ
5€rr.t,r" "f O-n'er/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA <-] ,
couNTY oF ,ltr" t:uc tC-
-
Name of person making statement.
/
Personally Known v/- OR Produced ldentification
The foreoing instr,{.lment was acknowledged before me
this0 aav ot.QY\\ ,202l bY
Type of ldentification
(Signature of N
MY CoMMIESIoN # GG 970043
EXPRASdTI$tch 10,2024
Bondod thru Nobry Publlc Undeflrflolt
SEA TURTLE
REVIEW
MANGROVE
REVIEW
VEGETATION
REVIEW
SU PERVISOR
REVIE\/V
PLANS
REVIEW
ZONING
REVIEW
The forsoins instrument Was acknowledged before me
this di uay or - Qh I - , 20.2Q bv
Type of ldentification
Produced
(Signature of NotarY
Commission No.