HomeMy WebLinkAboutBuilding permit app, VOIDDocuSign Envelope ID: 44530301-595F-42FD-BBDE-C9D169B46A97
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
T. L CJ I E"11
�,'•U N T Y
Planning and Development services
Permit Number:
Building Permit Application
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:Temporary Power Pole
Address: 7840 Saddiebrook Drive Port St Lucie, FL 34986
Property Tax ID #: 3321-501-0011-000-3 Lot No. 11
Site Plan Name: Block No.
Project Name:
�Et I O t3 ki_kt0 OF PRK:
Temporary Power Pole
New Electrical Meter Second Electrical Meter
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:
Cost of Construction: $
Name23rd Street Enterprises, LLC
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
Address: 175 SW 7th Street #2410
City: Miami State: be
Zip Code: 33130 Fax:
Phone No.772-216-8477
E-Mail: usmackl Chotmail.com
Fill in fee simple Title Molder on next page ( If different
from the Owner listed above)
Name•Christopher Burton
Company:Chdstopher Burton Luxury Homes
Address:6013 Farcenda Place Ste.101
City: Melbourne State: FL
Zip Code: 32940 Fax: 321-757-0900
Phone No321-757-3247
E-Mailamy@burtonhomes.com
State or County UcenseCGC1509976 -County 31648
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.
DocuSign Envelope ID: 44530301-595F-42FD-BBDE-C9D169B46A97
oNotAlnnPicahNiii�-7�MORTGAGE
1.
DESIGNER ENGINEER: x
COMPANY: x Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLEHOLDER: x Not Applicable
BONDING COMPANY:' x Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
%Jwneu/ LUNTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
1 certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie Countty� make no represent tion that is granting a permit illl authorize the permit holder to build the subject structure
which is in conflict witt anY �ppitcab�e Home Owners Association rules, bylaws Qr and�co,nenants that may restrict or prohibit such
structure. Please consult wit 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. Lude 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 commonrino wnrk nr rae-ewdina vnur Nntira nf rnmmonramant-
DocuSipned by:
/
ner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA ,/ /1�
COUNTY OF ���.0 I �/'
STATE OF FLORIDA
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Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
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Physical Presence or Online Notarization
this day of 2020 by
this day of 2020 by
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Name of person niaking statement.
Name of person making statement.
Personally Known �_ OR Produced Identification
Personally Known �_ OR Produced Identification
Type of Identification
Type of Identification
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2022
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