HomeMy WebLinkAboutMcCusker Permit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date
Permit Number:
91ro
C)
g 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
PERMIT APPLICATION FOR: MCC
PROPOSED IMPROVEMENT LOCATION: 4-1 CT - (ic-.rlc.: # 34I`i5I
Address: � I`)l-il3 k0CJ 6u (t `a b PLAY G (f, =? i �
Property Tax ID #: 133 4- 5-03 • GLOW • 000 •2 Lot No. 6
Site Plan Name:
Project Name: M e_ W.SK e_ r � "C
DETAILED DESCRIPTION OF WORK: ""_ c? rrx 1� a
Block No.
c c Ica ad eI l 317 ruj�C,: —en)er 4/1)' lk"k'116 Y'e A- rV PlCJ'C'e . I okq V.- d aaA
heron L�, �►�x��-c� �e� �C-�--Ir��� i�rN� lod rc�.e;�hQi�1�.h�6� "���t 1 "-�vt.��i.r.�� �=tU. l�
New Electrical Meter
Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
_Mechanical
_ Electric
_ Gas Tank
_ Plumbing
Total Sq. Ft of Construction: -3Si 00
Cost of Construction: $ 25-1 960"
_ Gas Piping
_ Sprinklers
A x5 ►)
Shutters _ Windows/Doors
��
Generator Roof
Sq. Ft. of First Floor:
_ Pond
Utilities: —Sewer _Septic Building Height:
Pitch
OWNERAESSEE:
CONTRACTOR:
Name IL"ICLJISICG J.,
Address: C4413 R)I'nj'J&FU 07
Name: `c�o cccid,-° "
Company: YIDVI C 3T
Address:
City: arf S LGc�! —state: YJ
Zip Code: 34iv2- Fax: K �
City: F-4— y— 'c- State:l_�
Zip Code:3`I"`l 51 Fax: N A
Phone No.1-010 • � �Z - L400
E-Mail: i 6~ ' �,
Phone No i d 2- CP2I • L02-tPb
E-Mailf
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
State or County License CCC, l
2LD�-
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.
SUPPLEMEU'AL CO.NSTRUCTION. LIEN LAW INFORMAPOW
DESIGNER/ENGINEER: Not Applicable
MORTGAGE COMPANY; Not Applicable
Name:
Name:
Address:
City: State:
Address:
i City: State:
Zip: Phone
Zip: Phone: , . ... . . I
FEE SIMPLE TITLE HOLDER: r 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
improve is to your property. A Notice of Commencement must be recorded in the public records of St.
Lupl*e aunty �nd posted on the jobsite before the first inspection. If you intend to obtain financing, consult
wilth le der o an attorney before commencing work or recording vour Notice of Commencement.
as Agent for Owner
STATE OF FLORID
�.�..
COUNTY OF
Sworn to (or affirmed) and subs bed before me of
— Physical Presence or Online Notarization
this Ut" day of C1,CtC1 W- 2020 by
Name of person making statement,
Personally Known _ OR Produced Identification l�
Type of fdentificakion
ProdG-c-e-d\
N
(Signature of Notary Public- State of Florida )
Commission No.
REVIEWS I MIT-1 WPRVI
DA
e'ooe_ "oo
Fig —nature of koatracfor/License Holder
STATE OF FLORIDA
COUNTY OF
Swoo to (or affirmed) and subscribed before me of
V P, ical Presence or Online Notarization
this I _LZ day of 2020 by
Name of person making statement.
Personally Known OR Produced Identification
Typ,#*-oT1!e,\n t ifl cati on
0 '4"'. ( A
rnri,;rat4 , /J
(Signature of Notary
Commission No.
PLANS I VEGETATION
REVIEW REVIEW
Public State of Florida
My Corrinissah GG 986470
Expires 08/1512024
SEA TURTLE I MANGROVE
REVIEW REVIEW