HomeMy WebLinkAboutCutler.WH.permitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:. .o Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce Ft 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential `3y
PERMIT TYPE:
PROPOSED IMPROVEMENT LOCATION:
Address: 2-qc) 50 -Pow, VIAA
Property Tax ID #: :�)`'J 19 -!5qo _QQ& 2-- "(o Lot No. 1E
Site Plan Name: P- lVe -TT Cy- Block No. lq ,5
Project Name:
DETAILED DESCRIPTION OF WORK:
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit -check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters
11
ElectricPlumbing _ Sprinklers
Total Sq. Ft of Construction:
Cost of Construction:$ I LA -�o , na
Generator
Sq. Ft. of First Floor:
_ Windows/Doors
_ Roof Pitch
Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name- -(2ZKYA 0- skit I
Name: Il i �`r1 (iAzwa-ti
Address:QC{()'_!-� -B (V 6
Company f— 1jooVail
City: Sri- �j� BUG<-C- Stater
Zip Code: '4 Tj Fax:
Phone No. 701 - 406-
Address: I�Jl S - Cpt�4h t'V1z�(!"
City:4'a(`}-- 5� 1.. ul� State: �--
Zip Code: 3�-(QJa Fax:
Phone No-�-
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail lyvffi( II A.M12W.
State or County License
IT Value or Construction is ,SZSOU or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
vcwluiYcry G{Vl7{rytER: _ Not Applicable
Name:
'Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
City:
Zip: Phone:
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.
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie Counttyy makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in confEict 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 grantin f th'
in accordance with the a g o is requested permit, I do hereby agree that i will, in all respects, perform the work
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 th * bsite before the first inspection. if you i tend to obtain financin consult
witlyilend�er or an attorney bef 'J commencing work or recordinamm ir� nl i. — __-- _ - . g,
as Agent for Owner
STATE OF FLORIDA
COUNTY OF { La C t e,,
Sworn to for affirmed) and subscribed before me of
V P ysical Presence or Online Notarization
this RA day of �1iJ in? 2020 by
Name of person making statement.
Personally Known i./ OR Produced identification
Type of Identification
of Notary
MANE COLE
Commission No.� NOS y,I b ' - State of Florida
`= cc,,Vn it GG 961089
MY Comm. Expires Mar 14, 2024
- - I
REVIEWS I
COUNTER � REVIEW 1 NINGS UPERVISOR
REVIEW
VED
STATE OF FLORIDA
COUNTY OF S.;,CA1
Sworn to for affirmed) and subscribed before me of
Physical Presence or Online Notarization
this ,e0l- day of c3 2020 by
Name of person making statement.
Personally Known V-11 OR Produced Identification
Type of identification
of Notary Public- State of
Commission No.
PLANS VEGETATION SEA TURTLE
REVIEW REVIEW REVIEW
DIANE cc
Notary Public - Sta
`z C°mmission N Ga
My Comm, Expires
Bonded tMatgh National
MANGROVE
REVIEW
2024
Assn.