HomeMy WebLinkAboutGiordano,permit0001All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 112- 2_0 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:
PROPOSED IMPROVEMENT LOCATION.
Address: .� 15 .3[Ac( 11,(IDn -1)f
Property Tax ID #: 0 3G--9 " 000 - Q Lot No.
Site Plan Name: Let, r b {Pe,_c Block No. �
Project Name:
DETAILED DESCRIPTION OF WORK:
CONSTRUCTION INFORMATION:'
Additional work to be performed under this permit— check all that apply:
_Mechanical as Tank _ Gas Piping Shutters _ Windows/Doors
Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $ C; rC ��.1
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name JOCA.ny) C_ 6:>10r-64�'f-v C,
Address: 56L-:?) d1t_`sI� _Dc
Name: IA0L( i-s¢\
Company: ( I'-ee-
City; t-oc state:
Zip Coder L( ci Fax:
Phone No. (05-En
Address:
City: P0_r+ S�V, j c:r e- State: r L_
Zip Code: 3i4RS Fax:
Phone NoL2--
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mailttri ( W-Pid'i fle 2tL/fh6�Er' • c_Df71
State or County License CF6. I yz-sq 3�
11 vdiue VT construction is;ozwu or more, a Kt4UKutu Notice of commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
Wu'J#u,nCn/ Not Applicable
Name: _
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:
— Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
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.
1 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 paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and pasted on thgijobsite before the first inspection. If you tend to obtain financing, consult
wittyllendher or an attorney bef�f'e commencing work or recording "nttt- Ni ere of
of Owner/ Lessee ntractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF j Lau e,
Sworn to (or affirmed) and subscribed before me of
�t Physical Presence or Online Notarization
this 1 day of C, 2020 by
Max
Name of person making statement.
Personally Known FJ OR Produced Identification
Type of identification
Produced
(signature of Notary Pu ibrA
o• -.. wnE COLS
Commission No. fi Naar 18n b1I� State of Florida
`= CoN GG 961089
My Comm. Expires Mar 14, 2024
REVIEWS FRONT .. ZONING SUPERVISOR
COUNTER REVIEW REVIEW
DATE
DATE
COMPLETED
STATE OF FLORIDA
COUNTY OF 'S;J i z
Sworn to (or affirmed) and subscribed before me of
_k_-' Physical Presence or Online Notarization
this 16 day of J 04 G 2020 by
Name of person making statement. --
Personally Known OR Produced Identification
Type of identification
Produced
Signature of Notary Public- State of WANE CC
Mn"Notary Public - Sta
Commission No. _ commission n G,
My Comm. Expires )
Bonded tMouQh National
PLANS VEGETATION SEA TURTLE MANGROVE
REVIEW REVIEW REVIEW I REVIEW
2024
Assn.