HomeMy WebLinkAboutpermit appAHI APPLICABLE INFO 11 UST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Najmber:
Building Permit Application
Pi'anning card Vey0opmerl t SeMces
Budding on dCode Re uXution Division Commercial - I esidenti t x
2300 Virginio Avenue, Fort Farre FL 34982
Phone; (772) 462-ISS3 I qx: (712) 462-1578
PERMIT APPLICATION FOR
PROPOSED IMPROVEMENT LOCATION:
Address: 4 2 VViillows AVS'
Prrapertty lax ID W 3419-510-0191-000-6
Site Plan Name; EIiver Park
project Name: Hoosar
DETAILED DESCRIPTION OF WORK:
15 impact windows and 2 doors
New Electrical Meter
Second Electrical Meter
CONSTRUCTION INFORMATION:
Lot No. 2
Block No. 17
Additional work to he performed under this permit-- check all that apply.
.-,hiiec'hanical _Cas Tank —Gas Piping —Shutters � Windows/Doors — Pond
Electric — Plumbing _ Sprinklers _ Generator _ Raof - Pitch
Total Sq. Ft of Construction: - Sq. Ft. of First Floor:
Cast of Construction', y 1$R59 Utilities: _ Seger _ Septic Building aeigW
Ch1+ NFR/LE_SSEE. CONTRACTOR:
Narne kirk Hoosac � Warne: ,Josef Al it
Address'. 422 Willows Ave _ .._.. Company, _USA Home lrrnprovement
Port t Lucre- 2211 Griffin Road
Citi, State: � Address.
Zip Code.. 34952 City: Ft Lauderdale State h -I
Phone No. 5615780555 Zip cGde: _33441 Fax:
j0( ipep jl_dn0.mrn Phone No 44, /244
Fill in fee simple Tftle'Helder on next sage I if di"erent E -Mail dDl1na( grtusahj coal
j
from the Owner listed above) State or County License CG 1526707
if value raf construction is 2S00 or more, a RECORDED Notice of lCornP encemelnt is required.
it value of HAVC is $7,500 or more, a RECORIDEC Notice of Ciommencement is required.
SUPPLEMENTAL CONI TRUCT10N LIEN LAW INFORMATION:
ER,IENGINEER: - Not Applicable„
MORTGAGE C�OMPAN�': � Blot Applicable
Address: -
City; State:
Zip: Pham
FEE SIMPLE TITLE HOLDEN: Not Applicable
Name:
Address:
City: _.
Zip- Phone'.
Name:.
Address:
City: —� -- Mate;
Zip; Phone:
BLINDING COMPANY: Not Applicable
Nam4--
Addre�;s:
City:
Zip:
Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application, is hfreby 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 Count makes no representation that is granting, a permit will authorize the permit holder to build the subject structure
which is in cunflict with any applicable Name owners Association rules„ bylaw's or and covenants that may restrict or prGhrbit such
structure. Plpa rr njult with your Home Owners Association and review your deed fear any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that l will, in all respects, perform the work
in aceu>rdance with the approved plaits, the Florida Building Cocless anti St• tueie County Amendments.
Thr Inlinwrng building permit applications. are exempt froom undergoing a full concutrency review,. room additm.ns,
act es.ory structures, swirnming pooK ferxes, walls, signs, screen roorns andaccessory rises to another non-residential use
WARNING TO OMER: Your failure to FtKard a Notice of Cornet meat I>I'iay result In paying twICS for
imprevernents to your property. A Notice of Comrnencement 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 leader or an attorney before commencing work or recording our Notice of Commencement,
,sivature of ownerl Lessee/Contractor as Agent for Clwnet
STATE OF FLORIDA
COUNTY OF l
SWorn to -dor affirmed) anti subscribed before me of
Vh%osical Prese i i L o of Online Notarimticn
202
G -J- 1' d
Name sof persan making stateme+nt
Personally Known _ OR Produced Identlftcation
Type of Ide'ntifl�a u
Produced T 4
=r -{�L
�ra��;T
iitnatu{ ufi flu#eery 1's�t l,c State
Commission No. 15eall
Sigryfture of n tractor/ License Holder
STATE OF FLORIOA,--' ,
5vo;irn to Sor affirm ed and subscribed before me of
_-41hysical lie sencp or Online Notarization
th;•; _ day of V, 1. 2020 by
Name of pers+an mak.irig Adtemeft
Personally Known rM #arc dUrOd ldentiftcation
Tine of Ide=ntification
t utk of
Commission No..
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