HomeMy WebLinkAbout111 W Aldea PermitAIIAPPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date 020
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Building Permit Application
Planning ond Development Seruices
Building and Code Regulotion Division
BaO Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772\ 462-t578
Commercial Residential
PERIVIITAPPLICATION FOR: r,.i r f i ng
PROPOSED IM PROVEM ENT LOCATION
1;Ir
I I I V\ R\d0r\ .qr. PovAddress t \)tJP-, F L 3+q52L
Property rax rD #: 3+11 - 515 * OZ\ob - O0 O -I Lot No.r3
Block No. 5OSite Plan Name F tc"t l.nof k"P--r.rrr$
Project Name Fta +f hnt YP -rrn$
DETAILED DESCRIPTION OF WORK:
t rDo
- SFV Strneoth Se,W-odh(rv\q {Sm QYuruto\Wd Can Shx,&t
\14 3 Pot 5 =sgs
New Electrical Meter Second Electrical Meter
CONSTRUCTI ON I N FORMATIO N
Additional work to be performed under this permit - check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors
_ Electric _ Plumbing _ Sprinklers
-
Generator rr' Roof L ltL
Total Sq. Ft of Construction tt 1q Sq. Ft. of First Floor
Cost of Construction: 5 ooo Utilities: _ Sewer _ Septic Building Height tlf+
Pond
Pitch
OWNER/LESSEE CONTRACTOR:
ruame E-di lak.L Dofci US
Address: t\\ \N RdeC^ St
City PurtSt.Luue State: -i;!-3*Q52 ra*'
11:)_?,hD DR(
Zip Code:
Phone No.b
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name
Company:E I Maqo's Poo{inov-
Address
Pov+(f. Lu
zip coae, .itrl8*
Phone No 1 "i Z -35q - Dqt O
G{StAtE: FL
E-Ma i._i
lf value of cqnstruction is 2500 or more, a RECORDED Notice of Commencement is required
Permit Number:
City:
Fax:
state or County Li."nt" t0f * 133\i.olC
DESIGNER/ENGINEER: ./ tttot Applicable
Name:
Address:
City:
7ip:
State:
Phone
MORTGAGE COMPANY:
Name:
_.2'ruot Applicable
StateCity:
Phone7ip'-
Address:
BONDING COMPANY: v,z Not Applicable
Name:
PhoneZip:
Address:
FEE SIMPLE TITLE HOLDER: y' Not Applicable
Name:
Address:
Phon7ip:
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 Countv makes no reDresentation that is erantins a oermit will authorize the oermit holder to build the subiect structure
which is in conflict with anv a'oplicable Home Owiers Asfociation rules. bvlaws or and covenants that mav restrict or prohibit such
structure. Please consult with'your Home Owners Association and review'your deed for any restrictions which may aIply.
ln 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
St,
ult
Sworn to (or affirmed) and subscribed before me of
I'. Phvsical Presence or Online Notarization
tf,is -y:I day of \.'.'.q , 2020 by--!l- ' -_--
Personally Known
-
oR Produced ldentification I
as Agent Owner
statement.Name of person
Signature
COUNTY OF
STATE OF
Type of
Prod
Ruth Eun
NOTARY
STATE C
Comn# (
@icenseHolder
STATE OF FLORIDA
COUNTY OF .):- i ;..ri I c.
Name of p"rron ,.king statement.
Personally Known
-
OR Produced ldentification /\
,tH,$'$'*., r,r". QF-r Q3oQ51
Mlrtrrn Sarttos
[4s
of
iG930957
of )
Type of ldentification
or
Cornrn# G
Ruth Euni
NOTARY
"trl
SEA TURTLE
REVIEW
:[ leF Expires
MANGROVE
REVIEW
REVIEWS FRONT
COUNTER
ZONING
REVIEW
/CE1st- Expires
SUPERVISOR
REVIEW
11t1A2AZ3
PLANS
REVIEW
VEGETATION
REVIEW
DATE
RECEIVED
DATE
COMPLETED
2t2023
SU PPLEM ENTAL CONSTRUCTION LI E N LAW I N FORMATION :
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