HomeMy WebLinkAbout7260 Reserve Creek Permit Application SoffitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Permit Number:
Permit ApplicatiBu11dingon
Planning and Development SLPrvices
Building and Cade Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462,P-1578
PERMIT APPLICATION FOR
PROPOSED IMPROVEMENT LOCATION&9
Address0
:
PI
Property Tax I E #:
Sit
e Plan Name,.
Project Namen.
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DETAILED DESCRIPTION OF WORK:
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New Electrical Meter _-MMENEI
Second Electrical Meter,,-
Lot No,.
Block No.
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
Mechanical _Gas Task _Gas Piping _Shutters W*Indows/ Doors _Pond
Electric _Plumbing _ Sprinkle
Total Sq.
Cost of Construction: $ _ �i IRWIN"
ism
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Ft of Construction:'--
rs
Sq. Ft.
Utilities:
Generator Roof Pitch
of First Floor:
Sewer _Septic Building Height: I�S�(-inn MRMLI
Name,.,,-.Na� .� �- t,1n
Phone No
( if different E-Mail J .c% oc5111. �
State or County License
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If value of construction is 25W or more, a RECORDED Notice of Commencement is required,,
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencementis required.
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from the Owner listed above)
Addr so Jmo C> �U�"'��rdf �i-- Company:' p 1 �_ S
City: ��k� (State�Addresse � �
Zip Code:�'7 Gl �r�i �' Fax: City:�U� 1-� l�Lz
Phone Na. -`"`�
i Zio Code: L/� Fax
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=411 in fee s*imD1e!Tft1e Holtle
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FsUPPLEMENTAL 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 I BONDING COMPANY: _Not Applicable
Name: Name:
Address: Address:
Z'1'p Phone.5 ZIP4
0 city' Phone:
OWNER/ CONTRACTOR AFFIDVITso Application is hereby made to obtain a permit to do the work and installation as indicated.
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,i'�ny restrictions which may apply.
Inconsideration 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 applqp
ications 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 aid posted on the j'obsite before the first inspection. If you intend to obtain financing,, consult
with lender or an attorney before commencing work crrecorFaInk;.
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Signature of Owner/ Lessee/Contract-ansAf ent for Owner
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TE OF FL
UU1 IVVIII,C UI %m.Vi11CMi.v111c" .
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF
Sworn to (or affirmed) and subscribed before me ot
i< Physical Presence or Online Notarization
this Ll day of ''C�/�- /,I par_
Name of person making statement.
Personally Known �
Type of Identification
P rod6ced
Commission No.
2020 by
OR Produced Identification