HomeMy WebLinkAboutWuest Permit ApplicationAll APPLICABLE INFO MIDST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number;
Building permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Address:
Property TaxlD##: t�.r r k-, ii t.A .1 � 15f-r�i
G2�-�I 14�i �; �C- Lot No.
Site Plan Name. Block No.
Project Name: L 7 A luvo `Soc,4
DETAILED DESCRIPTION OF WORK:
_
' i
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Li
New Electrical Meter Second Electrical Meter
CONSTRI.�CTIDN INFORMATION:
Additional work to be performed under this permit-- check all that apply:
_Mechanical _ Gas Tank Gas Pining _ Shutters Windowr/Doors Pond
_ Electric Plumbing �Sprinklers Generator V'_R of Pitch
Total Sq. Ft of Construction: /fs'0
Cost of Construction: $ J (, Y 'X
OWNER/LESSEE:
Sq_ Ft. of First Floor:
Utilities: —Sewer _Septic
Name
Address:...Duo Ke± - � d
City:i State:- I
Zip Code: -� _ Fax: T'
Phone No. 0 - 7 I �i
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner fisted above)
Building Height:
State: -iV
Zip Code: 'BLS 2. Fax:
Phone No -1-12- CC2- I .
E-Mail CW1C.e__5)A'-V-G4iC. , corn
State or County License CCU-E zb_ I aLO 4-
CONTRACTOR:
Name: C'Cx.ii`u,
Company:
Address:
City: 0 n
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:
DESIGNERIENGINEER: Not Applicable
MORTGAGE COMPANY: Not Applicable
Name:
_
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City:
city:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a pen -nit 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 bui€d 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 commencin-a work or recording your Notice of Commencement.
as Agent for Owner mature of C' ntr ❑l L€cense-Rultfer
STATE OF FLORIDA STATE OF FLORIDA
COLINTY OF_ 51, Lu L k COUNTY OF.... a -_ L-10,Li_�
Sw�to (or affirmed) and subscribed before me of
ysical Prese � or Online Notarization
this � day of -,I f 2020 by
Name of person making statement.
Personally Known OR Produced Identification
Type of lde cat€on7 r7
Produced
Commissi.7 '7
REVIEWS
RECEIVED
FRONT
COUNTER
Swor o (or affirmed) and subscribed before me of
1-1 Ph ssical Presence or Online Notarization
this �--day of -'Lj i 1 �- 2020 by
Name of person making statement.
Personally Known lv OR Produced identification
Type of Identification
Produced
Y' CYNTHIA W NUTT
M6JRWISSIONgGC V79 9C rnis
EXPIRES: January 22, 2D22
�. sow 7hru Mbffy Pubk Undaw am
ZONING SUPERVISOR PLANS
REVIEW REVIEW REVIEW
of Notary Public-
PSEATURTLE
dU •., CYNTHIA M.14U T
REs:.lanuary 22,2o22
n ma Pvh7c
VEGETATION MANGROVE
REVIEW REVIEW Rl VIEW
JOSEPH E. SMITH, CLERK OF THE CIRCUIT COURT - SAINT LUCIE COUNTY
FILE # 4723811 OR BOOK 4438 PAGE 2502, Recorded 06/30/2020 02:28:36 PM
NOTICE.
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