HomeMy WebLinkAboutCalandrillo Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Planning and Development Services
Permit Number:
Building Permit Application
Building and Code Regulation Division Commercial Residential
2300 Virginio Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (7721462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION: 82-2- ti
Address: 52-2- I01FL*-_) 0 Slf- IU . fl3:2-
Property Tax I D #: Lot No.
Site Plan lame: Block No. 20
Project Name: • Li 10 i2�,
New Electrical Meter Second Electrical Meter NU-U VYLWUXr Q('A ,-
,4 CP-P Ae�,
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit- check all that apply:
_Mechanical — Gas Tank —Gas Piping _ Shutters _ Windows/floors Pond
Electric Plumbing T Sprinklers _ Generator Zoof Pitch
l� sf
Totaf Sq. Ft of Construction. __4 � � Sf Sq. Ft. of First Floor:
Cost of Construction: $ utilities: _ Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name _ 1 lCl+1CLcCa1,z_!q. Q
Name: Ca_,YLPX0e-\
_
Address: tJf- ajy)(-o 5c,+
Company: Figilo y '
Address: 15 5F, 5 , CLA�
City: 144 5� LULC- PCB State: Pl
Zip Code: �??�52_ Fax:
Phone No.
City: ls� uw_tlt�, . state: IL -A
Zip Code: 3A9�� Z Fax: AJ
Phone No -7-72-- LP7- T &2�t, p
E-Mail: COAMI onq Q,) 0,01 , ' rn
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail e C0 S / /C , coo
State or County License CWJ a3 12fD::?'
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,
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: I
DESIGNER/ENGINEER: , 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:
UWNh K/ CUNTRACTOR 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 Cod s 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, wails, 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 jobs ite before the first inspection. If you intend to obtain financing, consult
with Iender or an attorney before com m en ci ng work or record in vylr Notice of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF �' Luc, C
5war a (or affirmed) and subscribed before me of
P- ical Prese�e or Online Notarization
this May of S I n 2020 by
Name of person making statement.
Personally Known Produced Identification
Type of Identification
Produced
On) a P - 0
(Signature of Notary Public- State `�""�•`—
I7
`Y" CYNTHIA M.:.... MYC
Commission No. *; QWi$SiON
e :p��EXPIRES�: ,J^a_m�ay
Y�SOf PLC.`' RMdW � t lalwv Pum
REVIEWS FRONT I ZONING
COUNTER REVIEW
DATE
RECEIVED
DATE
COMPLETI
Holder
STATE OF FLORIDA
COUNTY OF
Sworn (or affirmed) and su cribed before me of
Ph cal Presence yr Online Notarization
this'ff_4_, lay of __ ti nC 2020 by
on_ J
Name of person making statement.
Personally Known _ZOR Produced Identification
Type of identification
Produced
'n4mto_ rfl . t cm
of Notary Public- State
: Z.. ($ CYN7i- [A M. I"
9 ris n No. *: a"YCOMMISSION #
`: >tXPIR:JanuFy
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SUPERVISOR PLANS VEGETATION SEATURTLE I MANGROVE
REVIEW REVIEW REVIEW REVIEW REVIEW