HomeMy WebLinkAboutBuilding permit appAn APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: - 20' 2 26 Permit Number:
00
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" ''` —� - Building Permit Application
Plonnrng and Development Services
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Building and Code Regulotton Orvision Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34981
Phone: (772) 462-1553 Fax: (772)462.1578
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PERMIT APPLICATION FOR: N e vq ar),:,:jTUGt1U(7
PROPOSED IMPROVEMENT LOCATION:
Address:3-761 DI<ee�hybe� RCI F!. PIGYGe, 1 3�q 4�
Property Tax I D 4:241-7-_704--6Q(03—MJ—(o Lot No.
Site Plan Name: Block No.
Project Name.
DETAILED DESCRIPTION OF WORK: j
Qr�1� Un b-P r5e►^! DnfF cc' 13U1ldlr�� _
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit - check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters —Windows/Doors _ Pond
_ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction. S _ Utilities: _ Sewer _ Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
NameUnic& Air COf(.7f716171iY1 Co Name: enne-4h Qo bins
Address:;2 SW �lY� QOIn+ C t Y Compan�� UGl✓� �� � I Id lq4- �� U
City: S+Uay'�- State: FI Addresss�4OfSn Echo Ye-
525 City: taY-f-ow State: FI
Zip Code: 54%�� 4 Fax�72—Co7L! 7p
Phone No. ,72-&76'CO(C 7� Zip Code:-30-3Q Fax:
E-Mail: cr f @ Ur, eo hVaC. COM Phone No 40 1 - 2,4 - 91000
Fill in fee simple Title Holder on next page ( if different E-Mail M I ke )
from the Owner listed above) State or County License 12CD 2255
If value of Construction is 2500 or more, a RECORDED Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY
Name:Hiche4/ Mr°nQrd Name:
Address: W VG Address:
City: Pie rCc State. City:
Zip: Sn Phone �] �2 4(D� �7?5 1 Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Gip: Phone:
BONDING COMPANY:
Name:
Address:
Zip: Phone:
Not Applicable
State:
_Not Applicable
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 paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lender or an attorney before commencing work or recorch your Notice of Commencement.
Signature of wner/ Lesiiee/Co ractor as Agent for Owner Signature o ontractor/License Holder
STATE OF FLORIDAl f STATE OF FLORIDA
COUNTY OF f (A Y41 n COUNTY OF
Sworn to (or affirmed) and subscribed before me of
is Physical Presence or —Online Notarization
this day of TU r1k 2020 by
()-cMv A CCU zad%1lCt
Name of person making statement
Mar4i n
Sworn to (or affirmed) and subscribed before me of
1( Physical Presf'a,ceof _ Online Notarization
this d day of _.JS A IS ^ ac�. 7020 by
ke.nnt-+h RobbtnS
Name of person making statement
Personally Known X OR Produced Identflcabon Personally Known X OR Produced Identification
Type of Identification Type of Identification
of
1115-2-7
Commission No C7G• (seao mmission No.(7 V r'
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION
COUNTER REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.57672a
;tate of Flonda.l
21 (Seal)
SEA TURTLE MANGROVE
REVIEW REVIEW