HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABL IN UST E*V)gETED FOR APPLICATION TO BE ACCEPTED
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Date: 6131 Permit Number:
_�4��� r�LUC E
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1= L c r c c t:L -- Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: I772I 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: 106 S NARANJA AVE
Property Tax I D #: 3419-540-0190-000-2
=ate Plan Name:
zject Name:
DETAILED DESCRIPTION OF WORK:
New =:_y-:= =ter Second Electrical Meter.
CONSTRUCTION INFORMATION:
Addit _ -= _ __ c=_ performed under this permit- check all that apply:
Residential x
Lot No.
Block No.
__-=-ka[at Gas Tank _ Gas Piping — Shutters Windows/Doors _ Pond
a"_:-ibing Sprinklers _Generator Roof Pitch
Total Sc. _- __-----_ -� L Sq. Ft. of First Floor:
1
cost ofCo- _ _ Utilities: _Sewer Septic Building Height:
OWNER/L�SSEE: r�
w
Name --
Address: _
City: - - _ State:`
Zip Code_
/ r
Phone':--.
E-Ma
Fill in fee sirnple Title Holder on next page (%�UffereAt
from the Corner listed above)
CONTRACTOR:
man.,,• Robert Stone
Company:Stone's Aluminum Concepts
Address:1407 SW Biltmore Street
City: RSL
Zip Code: 34983 Fax:
Phone No561-262-2048
E-Mail stonesaluminum@yahoo.com
State or County License Port St. Lucie
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.
State: EL
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: Not Applicable
Name: Fl �.Errgr9_-s
Name:
Address:4,6--F ---• ---
Address:
City: a« c'�Z'tip state: FL
City: State:
Zip: 33952 Phone ='
Zip: Phone:
FEE SIMPLE TITLEHOLDER: ` Not Applicable
BONDING COMPANY: _Not Applicable
Marne:
Name:
Address:
Address:
City:
City:
Zip: -c-.
Zip: Phone:
OWNER/ CO..Y R,ACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I cee.c-c c- -- __::- -as zommenced prior to the issuance of a permit.
that is granting a permit will authorize the permit holder to build the subject structure
whi�� :-ame Owners Association rules, bylaws or and covenants that may restrict or prohibit such
z-e Owners Association and review your deed for any restrictions which may apply.
s requested permit, I do hereby agree that I will, in all respects, perform the work
=_-:s, the Florida Building Codes and St. Lucie County Amendments.
are exempt from undergoing a full concurrency review: room additions,
=. `ences, walls, signs, screen rooms and accessory uses to another non-residential use
Ir4' F', '_ - ,° ', _ _., • _ _ w =allure to Record a Notice of Commencement may result in paying twice for
perty. A Notice of Commencement must be recorded in the public records of St.
--- the jobsite before the first inspection. If you intend to obtain financing, consult
r '^--_ -- - ----- ;, before commencing work or recording our Notice of Commencement.
_ _-_-_ _ = _•.�.Y _��__ _----_-actor r
Signature of Contractor/License Holder
STATE OF =: = = DA
STATE OF FLORIDA
COUNTY C -
COUNTY OFstAu i.
before me of
Sworn to (or affirmed) and subscribed before me of
Online Notarization
X Physical Presence or Online Notarization
2020 by
this 181n of 2020 by
yday `,;
Name of person making statement.
?reduced Identification
Personally Known OR Produced Identification x
Type of Identification
_ ------
Produced
O
Sate of Florida)
``�� 0011u111fji
(Signature dYNotary ublic- State oT
NVC0woms04l1
i��C`''ofnmission
(Seal)
No. ;�,-�L 7 � 1*°r Seal) fCximdaiionNaGG 3057
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