Loading...
HomeMy WebLinkAboutCunninghamPermitPackAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: i- '- Building Permit Application Planning and Development Services Building and Code Regulation D1vsibn Commercial _ � Residential 2300 Virginia Avenue, t=ort Pierce Fl. 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: Fcncc "~1J1 n5, lcl+i, o -1 - PROPOSED IMPROVEMENT LOCATION: 1 1 4 I Address: � _ PV 1 i I Property "rax ID #: Site Plan Name: �/ 4 Project Name: [ Lot No.—% -- Block No. DETAILED DESCRIPTION OF WORK: �. -sem 1 � t k • � /1 � /4 �r _ i 1 � . 1 � � 1 I — _ l . r1\ f 71\ t 1 New Electrical Meter Second Electrical Meter CONSTRUCTION INFORMATION: Additional work to be performed under this permit- check all that apply: Mechanical y_ Gas Tank Gas Piping —Shutters Windows/Doors Pond _ Electric — Plumbing T Sprinklers _ Generator _ Roof Pitch Total Sq, Ft of Construction: _ Sq, Ft. of First Floor: Cost of Construction: $ S -AJ _ Utilities: —Sewer --Septic Building Height: OWNER%LESSEE: CONTRACTOR: _ Name_ Name: rt,An copany: r 6.!I" m — Address:ff-A nn, City: +�.5. State:, Zip Code: Fax: ^— Phone P o. 3 Co ` M Address: City: -V. State: L Zip Code: ff Fax: --- - e N� E -Mai State or County License_ I -Mail:AGh Fill in fee simple Title Holder on next page (if different from the Owner listed abovel 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 Name: MORTGAGE COMPANY: Not Applicable Name: _ Address: Address: City: � State: Zip: - Phone — -- _ City: State: Zip: - Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: BONDING COMPANY: `_Not Applicable 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, swirnming 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 pasted on the jobsite before the first inspection. If you intend to obtain financing, consult with lender or an attorney before commencing work or recording your Notice of Commencement. Signature of Owner/ Less e/Contrajctor as Age, n r Owner Signature of Contractor License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF '� LUc ; COUNTY OF SA. Luce S rn to (or affirmed) and subscribed before me of Sw?rn to (or _affirmed) and subscribed before me of -4 Physical Presence or Online Notarization v Physical Presence or Online Notarization this as "blay of 1 12020 by th'ss flay of -It.#�_ , 2020 by LCi-.1'7L� K& j, Name of person making statement. Name of person making statement. Personally Known _�V/___ OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identification Produced .��"�'",,.� RICHY GOMES, dR, oduePd sr° Ln, Notary Ptlbli�c•State of Flor'i Commission N GG 966763= =; a - .-`a�a�"��`''. RICHY GOMES, JR _ i+ Notary Puhlic•State ce -ev of Flo (Signature of IN Publ -+ f"uhf Flaridata,ch g, 2oza -s " # o 9667f Signature of Notary Public- ,�irid� Cc�rnr;ss;onXnlre. Commission No.`l��G�i ��63 (Seal) �`I arch W3, 2024 Commission No. ea ,{"'+= r REVIEWS FRONT ZONING SUPERVISOR PLAINS VEGETATION SEA TURTLE MANGROVE COUNTER a REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. _ +- 8SlYt1811I,O +3SS[lyp! �.NSRSNln13Y3x 0"3BId OHr 1Yid H94 guy hiMOHS SNO'6.eN8N14 A21YQl1ROH '@ 'OIZHR= SFAUVISU 2MV SONra"a -M °3„8i,►►.E9'g SaCVI8 N71FLY 'OS SO'I AO BNn HLHON SHL NO d2SV8 8HV N0382H Nl1OHS SON M13 •L 'DAWHY m .LLIA303Y% 'i AHH U AO N015SIII'dZd RHI Ja OHUA JAVd a0 31OHY NI afl0n44DH UW HH JAN TIVHS aNV JJA303Vp1 'i. AHH&L d0 A.LHSdoud 8H3 51 1ialm SI81 '9 • 'A.LNfIO7 SINS, d0 SOHO3aIH Dnaftd aH1 N2 QNRpA SS AVN ,LVHS A3 tgf1S fi1HS N0 (1308032V UN 8HY IYHS SNOLL31NLSdg IYNOLLIOQV 28 2VZHI :H3S]AN '9 ANYB IVNtOI�YN LSVOaY3S .lVN '8961 dd '0'A'V'N NO anva agV N03218H "OH3 SNOIIVA$I8 It MYHaNINNli3 3!'If1C v ? Nyx 'NsaHS sv m SmFtHOvOH393 TIQWLA 'I ANvdw03 dNHY[do78A$tI Mau '(mG03w AO ANUVIOD .LNRPQdD7gAaa HYN3u AYII-Ao-&LH:ird Hp1aNV SIN3ilam 2104 (IWVHlsav .ION asaY NO"3H NxOHS SUVI 8HL 'f 3II 'S2I3(TIItIH iIYN31i 'ANVdIO:) SNSndOl3A$4a MYRRH -gp+l QSHVdRHd S1 A3AHn8 SMI 'I 3T! 'SSYHOH SYN3H MOR S.HGARAInI 3'I'I (S©ISONINUOK) 'S9i'IOH xrxaa ANvdwo3 33WHaSN1 31111 •IVNOIIYN onafida'H Cno 3TI 'S93iAti3S S,C3YNAVHSMUv YQIiIOi:i 'R GNfl0:7 3I3fl1 ' LS 30 S£1?I(3a32i 3IT>�fld I'd AD192nlJl "I'd `1&iH33H 'iV YNAviiS 'OZ 39Vd 'BL ?IOOH ITld NI a3aHOORH SY 'M 'iMUI 3411 MOH va asvHd amo sizaa I8 wivd RQISONI How '66 im Noildi2I3Saa V©•VJ At. 3f,kP0UC7N �J Im 0 o6 101 0 Irmn r" ear 6i 4 w CT} ss 1011 y ` UTZ =Td'a H3NSQISH8 S'H'3 xuo,LS T ce r a 0 '0' 9 0 '8•n .ar aaa.� o 00,09 l"iKCt-P,f,-P46 .t.gsymvd .aa _ A/N UVANd .96 aAIH(I SaZaU yY'IVd aD ' 0 1•r CTI ti V T6 lorl to caI ca 0 ee `ux�rN 'aa•rz ='�sa`nr �` P .Z. aZWVd INVI AWS I VXTI