HomeMy WebLinkAboutNew Permit application for St. LucieAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: U) – 1 3 - a C.
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
Commercial X Residential
PERMIT APPLICATION FOR:pm Development Corp
PROPOSED IMPROVEMENT LOCATION:
Address: 6070 S. SU 1
Property Tax ID #: 3403-502-0349-08019
Site Plan Name:
Project Name: Gate for Gator State Storage
DETAILED DESCRIPTION OF WORK:
Install new 20x6 rolling chanin link gate across Parking lot on left side; of building
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Lot No.
Block No.
Additional work to be performed under this permit-- check all that apply:
`Mechanical _ Gas Tank — Gas Piping
Shutters Windows/Doors _ Pond
_ Electric — Plumbing _ Sprinklers
_ Generator _ Roof Pitch
Total Sq. Ft of Construction.
5q. Ft. of First Floor:
Cost of Construction: $ C Utilities: _ Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Peter J. Basch
Name; Peter J Basch
Address: 221 Northampton L
Company: PM Development Corp
p y�.
City: West Palm Beach, F; State:
Address:221 Northampton L
Zip Code: 33417 Fax:WPB
City: State: FI
Phone No. 561-207-2101
Zip Code: 33417 Fax:
E-Mail:peter@a pmdevelopmentcorp.build
Phone No 561-207-2101
Fill in fee simple Title Holder on next page ( if different
E -Mail peter@ pmdevelopmentcorp.build
from the Owner listed above)
State or County License CGCA27716
s
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:
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 BONDING COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
OWNER/ CONTRACTOR 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 arAttorney before commencing work o rdinyour Not -ice of Cornmencement.
Signbture of Owner/ Le ee/Contractor Agent for Owner Signature of Contracto /Lic se Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF A'/ 'go
Query COUNTY OF �r
Sworn to (or affirmed) and subscribed before me of Sw_orr>,to (or affirmed) and subscribed before me of
X_ Phy�te-,c,al Prese ce o Online Notarization Ph sical Presence r Online Notarization
this ZSday of 2020 by this ay of 2020 by
2',(fiT/7 -JL
Name of person mak' g statement. Name of person making stateinewt.
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification / Type of Ident' ca tion
Produced Produced ld0e;;0 4 cp
A6/
(Signature of Notary Public- State of Florida)
,fids. �l.Qe'" •
Commission No, (SiT • �
s
9:
REVIEWS FRONT ZONING
COUNTER REVIEW
DATE
RECEIVED
DATE
COMPLETED
e vim, �
iturd of Notary Public- State of Florida )
ision No. 66 �0599�
MAIQ,ti fI
zuz _
� ?2 A. ANS VEGETATION
REVIEW
REVIEW
i4il 9, 2022
may. '•. ! ra � �'G_•` .