HomeMy WebLinkAbout5409 Sunset Permit Application SoffitAll APPLICABL
Date:
E INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Permit Number:
ilding 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
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Commercial Residential
Address: L
Property Tax
0003
ID #oa
Site Plan Name:
Project Name
i
DETAILED DESCRIPTION OF WORK:
New'Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION0
:
Additional work t
Mechanical
Electric
Total Sq
Cost of
. Ft of
:onstr
o be performed
Gas
under this permit— check all that apply:
Tank
_Gas Piping
_Sprinkle
Construction:
u ct i o n: $
Plumbing
OWNER/LESSEE:
Name J�' �E174'ki IY�.�
Lot No.
Block No.L�)5
L /67 apmoftoftw C)
_ Shutters Windows/Doors _Pond
�s _ Generator _Roof Pitch
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height.,
CONTRACTOR:
Name:
Address:S7i LL -l�
City � ��_ � Stater
Zip Code: '�j�h c�. Fax:
Phone No.
E-Mail: ---
Fill in fee simple Title Holder on next page *If different
from the Owner listed above)
Company: C�
ddress: ll'�S�dr
Zip Code
Phone No —f -t r
E-Mail
S
State or County License
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.
Fax:
li3
LA L
State:
�L--
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Not Applicable
Name:
Address:
City: State:
GFROMMEREPEftwom --------- Elm —
Zip: Phone
FEE SIMPLE TITLE HOLDER: _Not Applicable
Name:
Address.—
cityme
0
Zip: Phone:
MORTGAGE COMPANY:
Not Applicable
Name:
Address:
City: State,.
Zip: Phone:
BONDING COMPANY: _Not Applicable
Name:
Address:
City:
Zip: Phone,.
OWNER/ CONTRACTOR AFF I DVIT: Application i s hereby made to obtain a permit to d o 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.
Inconsideration of the granting of this requested permit, 1 do hereby agree that I will, in all respects, per -form the work
in accordance with the approved plans, the Flor*ida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory-r%tructurp-qt 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
improvemP-nt-qtnvnujrnronPrtv. A Notice otcc mencement usti3erecorciecii
I ijrip County ancf posted on the jobsite before the first inspection. If you intend t
n the public records of St.
o obtain financing, consult
with lender or an attorney before commencing work or recording your Notice of Commencement.
Personally Known �
Type of Identification
Produced
(Signa'Eure of Notar
i Commission No.
R Produced Identification