HomeMy WebLinkAbout102 DEVONSHIRE rev1AIIAPPLICABLE INFO MUST BE COMPLETED FOR APPTICATION TO BE ACCEPTED
Date:Permit Number;
tsuild ing Perrnit Applicatisn
Planning and Develapmenl Services
Building and Code Regulotion Division
80A Virginia Avenue, fart Pierce FL 34982
Phone: {772]1 462-1553 Fax:1772} 462-1578 Commercial Residentitl K
Property Tax lD #:
Site Plan Name:
\ +el"6c 00b cDa0 q lot ruo. b O
Block No.
Project Name:
CONSTRUCTIOhI INFORMATION :
Additional work to be performed under this permit - check all that apply:
Mechanical
7*,,,,,
_ Gas Tank
_ Plumbing
_ Gas Piping
_ Sprinklers
_ Shutters
Generator
_ Windows/Doors
Roof Pitch
Total Sq. Ft of Construction:Sq. Ft. of First Floor:
costof construction:S \tlOO' "tl Utilities: _Sewer _SePtic Building Height:
lf value of construction is 52500 or more, a RECORDED Notice of Commencement is required.
PERMIT TYPE:El".f"tc-oJ
PROPOSED IMPROVTM ENT LOCATION :
i r€- ])rray'Z
DETAILTD DESCRIFTION OF WORK:
owNER/LESSEE:CONTRACTOR:
Name
Address:
City:
Zip Code: 334tD rax
PhnneNn (561 ) 35'2-3q33
Name: t-trt" \ t0 1g.rtt
company: Ytr' tlerj
Address:Dr
City:state:FL
Zip Code: j
E-Mail:
Fill in fee simple Title Holder on next page { if different
from the Owner listed above)
Phone No Ilt. 11-1
E-Mail
State or County License
sb?g
lf value of HVAC is S7,5OO or more, a RECORDED Notice of Commencement is required.
SUPPLEMINTAL CONSTRUCTICIN LIEN LAW INFORMATION:
DESTGNER/ENGINEER:
Name:
_ Not Applicable
N]/A
Address:
City:State:
zip:Phone
MORTGAGE
Name
Address
City:State:
zip''Phone
PANY: _ Not Applicablett
FEE SIMPLE TITLE HOLDER:
-
Not Applicable
Name:
Address:
City:
Zip:Phone:
BONDING COMPANY:
-Not
Applicable
Name:
Address:
City:
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 Countv makes no representation that is granting a permit will authorize the permit holder to build the subject structure
t"hi?Tii; in-ccjnftilt w-ith'inv dppficatjte Home owfieis RsSociation rules, bylaws or an{ covenants that may. restrict or prohibit such
iiiirit,iiei.'pteiseloniutiinitF-fouiHome owneis AssoCiliion and review'your deed for any restrictions rrihich may apply.
ln 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 OWTTER: YOUR FAILURE TO RECORD A ]UOTICE OF COiIMETCEiIEITT TIAY RESULT III YOUR PAYING
TWICE FOR IiIPROYEiIENTS TO YOUR PROPERTY. A TOTICE OF COiIiIENCEiIEiIT iIUST BE RECORDED AND
posTED ot{ THE JOB S|TE BEFORE THE FIRST ilUSPECTION. rF YOU IIUTEilD TO OBTAIN FtNAlUCllUG, COilSULT
WITH LENDER OR AIII ATTORITEY BEFORE oF coitmElucEilEl{T.n'
Signature of Contractor/License Holder
STATE OF FIORIDAT ,COUNTYOF Sl L'"q-l'E
The forgoing instrument was acknowledged before me
this tE day of hrJ.*-r , 20 Ua bY
Name of person making statement.
Personally Known lr"-' 0R Produced
Produced
(Signature 0f Not4r,lt
,'t:'
Commission ff5.
Signature of Owner/ Lessee/Cont
STATE OF FLORIDA;6u-firl'dr-""If G*
The forgoing instrument was acknowledged before me
this l'f daV of t\-i.-./" , 20 2p by
P,'-''' <1€Elt"ty(i
Name of person making statement.
Personally Known t/ OR Produced ldentification
Type of ldentification
Produced
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JoiflcAntos*RA
corni[ca*hGG t$e$
Er+*cFctnrtY l[M
SUPERVISOR
REVIEW
VEGETATION
REVIEW
FRONT
COUNTER
ZONING
REVIEW