HomeMy WebLinkAboutbuilding permitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 06-15-2020 Permit Number:
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce Ft 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Residential x
PERMIT APPLICATION FOR: Under ground piping
PROPOSED IMPROVEMENT LOCATION:
Address: 7107 s. indian river drive, fort pierce, fl 34982
Property Tax 1D #:
3412-414-0001-000-2 Lot No.
Site Plan Name:
Mathias Block No.
Project Name: Mathias
LDETAI:L�EDDESCRI�PPTION�OF WORK:_.
Install two 2" pipes ( horizontal boring) under Indian river drive for dock water and electric. Electrical and water lines will be inside 2" pipes.
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
Total Sq. Ft of Construction:
Cost of Construction: $ 2000.00
Sprinklers Generator
5q. Ft. of First Floor: —
Utilities: _Sewer Septic
OWNER/LESSEE:
Name Mike and stacey Mathias
Address: 7107 s. Indian river dr.
City: Fort pierce State:
Zip Code: 34982 Fax:
Phone No. 772-332-1422
E-Mail: captain55@comcast.net
Fill in fee simple Title Holder on next page I if different
from the Owner listed above)
CONTRACTOR::
Roof Pitch
Building Height:
Name:
Company: Jamie Underground Inc.
Address:2660 SE FAIRMONT 5T
City: Palm city State: fl
Zip Code: 34991 Fax:
Phone No 772-221-0199
E-Mail www.jamieunderground.com
State or County License CUC 1224010
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.
OWNER/ CONTRACTOR AFFIDViT: Application is hereby made to obtain a permit to ao the wurrc lu
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
structure. Please consult w with your Home Oicable wners AssociatioOwners n and review your aws or
or any restrints ctions which maor
alprohibit such
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.
L ;-Count and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
uc y
with lender or attor a before commencingwork or recordingour Notice of Commencement.
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Signature Owner/ Lessee ntractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF St. Lucia
COUNTY OF st. --
Sworn to (or affirmed) and subscribed before me of
Sworn to for affirmed) and subscribed before me of
fPh sicai Presence or Online Notarization
Physical Presence or Online Notarization
2020 by
this 17-day of Dyiru 2020 by
this day of
MA14ras M 1<"-
Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification L�
Personally Known OR Produced Identification
Type of Identification
(p2d�
Type of Identification
Produced
Produced ��
(Sign re of Notary Plib�i�-_S ? of lorida�
(Signature of Notary Public- State of Florida }
J E iE 51 SCALIBe
Commission No. ;' '.'= ,-.%�aIS4a#t�u''J
Commission No. (Seal)
FXPi�ES ;pd 'w�6. 2021
REVIEWS FRONT ZONING SUPERVISOR
PLANS VEGETATION SEA TURTLE MANGROVE
REVIEW REVIEW
COUNTER REVIEW REVIEW
REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.