HomeMy WebLinkAboutGalligan Bulding Permit Application07072020All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
Building. Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Address:
Commercial � Residential
Property Tax ID'#: _ 1 �� - �,,yl - 0i'4q - oc;r�� Lot No.
Site Plan Name: Block No.
Project Name: :tCA-c..Lic,:A%\-" O li `N `-Qi`ylahf
DETAILED DESCRIPTIONDF WORK: 00i'�3�y, i�uf"IJNJ;' - 1�;��v�cw ti, he,11�►� t
rl tJ oi- tArk5 (J, t-' &-101l)�-J�4.h I LLI V ►31 1 t- -V7 x tk tom' J ��' '�.4 to
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1'�e...-..=a J1_J�_ l J�-' A Loh
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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
%I lectric �'lumbing _Sprinklers
Total.Sq. Ft of Construction:
Cost of Construction: $ C'{ '�->, ?9S .
Generator _ Roof Pitch
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
OWNERAESSEE:
CONTRACTOR!
Name E 1 �� 6-It-VLLA 0�0
Name:
Address:11`t:5> S
Company: :Pslcuv0, KtTLftzR , RMA 1-t
City: State: PC--
Address: I Lam'' t � D 7 v: >> Li t u
Zip Code: c{`2S'% Fax:
City: state:
Phone No. (S- - OCo
Zip Code: (• T-- 9 Fax:
E-Mail: a ✓ v (. c' 'WA
Phone No 'I J -%-Jcf
Fill in fee simp a Title Holder on next page (if different
E-Mail t %I'J• ,),'vl, �S�t Si-c:r�t =� ` (Mn < ��
from the Owner listed above)
1 '
State or CountLicense
If value of construction is 2500 or more, a. RECORDED Notice of Commencement is requires.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Name:
Address:
City:
Zip: Phone:
UwIYtK/ GUIMTKALFUR 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 rnmmpnrino wnrie nr rornrriinn {1ni{r Nlntin ^f r n.v..v..,n....,....,..♦
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Signature of owner/ Lessee/Contrac ' as Agent for Owner
Sigriat f Contract r Lice se Holder
STATE OF FLORIDA
i
STA OF FLORIDA
COUNTY OF S7
COUNTY OF Sr, _-
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
Uj Physical Presepse or Online Notarization
k- PhysicaI Presence or Online Notarization
t is _L, day of J 201u by
this _L, day of J.0 20.E by
Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification -
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced___ _ 1*� C....
I Produced 'Is L_
(Signature of N ' State of Florida }
(Signature of Notary c- State orida }
WY Put MICHAELRAAZ
.••••,
Co issi
CHAEL
(S�aYjmlaslon#GG318620
Commission oY•.. Se� RAAZ
Explres July28, 2023
Commfsslon # GG 318620
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REVIEWS
FRONT
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SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
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