HomeMy WebLinkAbout6604 Bayard PermitAII APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Drt", B. l'z .2020 Permit Number:
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L.LCIiII:i Building Permit Application
Plonning ond Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL i4982
Phone: (772\ 462-L553 Fax: (772) 462-1578
Commercial Residential
PERMITAPPLICATION FOR: il, r ,it\' ' : \l \:
PROPOSED I MPROVEMENT LOCATION:
Address:
Property
bbo'+L +
Tax lD #:l3cl" to12:wzs'Lot No q
Block No. \4';)Site Plan Name LouewoC PqrK
r C Shinc \
New Electrical Meter Second Electrical Meter
DETAILED DESCRIPTION OF WORK
a{
CONSTRUCTION I N FORMATION :
Additional work to be performed under this permit - check all that apply:
-Mechanical -
Gas Tank
-
Gas Piping
-
Shutters
_ Electric
-
Plumbing
-
Sprinklers
-
Generator
Total Sq. Ft of Construction Sq. Ft. of First Floor
_ Windows/Doors
-
Pond
,iRoof ''l : lt Pitch
Utilities:
-
Sewer
-
Septic Building Height:Cost of Construction: S
OWNER/LESSEE:CONTRACTOR:
Nam
bbo4Address
City
zip
Pho
State: F i-
Code t+i Fax
neN
E-Mail: I o(xa*Yru,n 5h@ ar l LoYn
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name
Company
Address:to1 S Crrr
Pot,t St. Lu p-
3+qg 4Zip Code Fax:
Phone No i 12-35q-C,qR
E-Ma
State or County Lice
state: i- l.
lf value of construction is 2500 or more, a RECORDED Notice of Commencement is required
"oof stt
2.5q+
5 C)co
City:
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
GINEER:
Phone
State:
Na
zip.
City:
Not App rcaDESIGN
Address
MORTGAGE COMPANY:
Name:
Y Not Aoolicable-'rF
State:
Phonezip:
Address
City:
FEE SIMPLE TITLE HOLDER:
Name:
zip
L Not Applicable
City:
Address
Phone
BONDING COMPANY:
Name:
\., Not Applicable
zip
Address
owNER/ CONTRACTOR AFFIDVIT: Apptication is hereby
I certify that no work or installation has commenced prior to thr
st. Lucie Countv makes no representation that is sranting a permit will a.uthorize the permit holder to build the subject structurewhich is in qonflict with any.,a'pflicatite tto{ie Owfieis Aiiotiatio;;ui;i;d,;iiws or an{ covenants that mav restrict or prohibit suchstructure. ptease consutt with liour Home owneis Asloliation-anij re;i6;'i;;;d;"d'fd;rt ;eiiiilti,i", iJtiiit'ii,-.'y";dpiii.""'' "'
ln consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the workin accordance with the approved plans, the Florida Building Codes and 5t. Lucie Couniy amenainents.
The following building permit applications are exempt from undergoing a f ull concurrency review: room additions,
accessorystructures, swimming pools, fences, walls, signs, screen rooms and accessory usesto another non_residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in twice forpaying
in theimprovements to your property. A Notice of Commencement must be recorded public records of StLucie County and posted on the jobsite before the first ins pection. if you intend to obta in financing, consultwith I nder or an attor re commenc work recordin r Notice Comm encement
made to obtain a permit to do the work and installation as indicated.
e issuance of a permit.
3
F
i9
v
as Agent for Owner se Holder
Public- State oftc-of of
95r
COUNTY OF S* I r rri0-
or
sig nature of Contractor,
Name of perso making statement.
rmed) and subsoibed before me of
Online Notarization
2020 by
Expires 1d62il?0&?on No. :,:".i .i--
Signature of
Corilr#
Ruth
STATE OF FLORIDA
ly Known OR Produced ldentification l-
n
Personally Known _ OR Produced ldentification ?.
cationType of
Produced
NOTARY
Ruth
STATE OF FLORIDA
COUNWOF f;r \,ir(.ri,.
commission N.. t6q3cq5"l
Personal
Type of I
STATE
Conur#
REVIEWS FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Sworn to (or affirmed) and subscribed befor.e me ofK e^hysicat Pres-ence or_ Online Notarization
this i'i,frdayor t\lqu.rST- ,2020 byiJ
\.\(v\,.in ,(anfns
Name of persdn making statement.
Expires 1