HomeMy WebLinkAboutSt Lucie County Permit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date
Permit Number:
C44F
c` fz 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:
PROPOSED IMPROVEMENT LOCATION:
Address: 763 SE Airoso Blvd Port St Lucie, FL 34983
Property Tax ID #: 3419-545-0045-000-6
Site Plan Name:
Project Name: Torreggiani Residence
121
Lot No. 7
Block No. 58
DETAILED DESCRIPTION OF WORK: I
Gas Water Heater Replacement 40 Gal
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit- check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors _ Pond
Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction: _
Cost of Construction: $ 150.00
Generator Roof Pitch
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Zrev%.R —Iorregq;gno
Name: ®iko A-leNQaACLQ- r
Company: SSS At Ser vicn.S I -LC -
Address:1(,3 S�g (41�OSb. %j)v_CI
City: Pork S+. t. c� if- State: Ja-
Zip Code: 'M83 Fax:
Phone No. -i-ig- 33a- 3.1,13
Address: 1a b'+ S Ap A-vtn"A-
City: 40)1!wWwd State: fL
Zip Code: 330c?c-P Fax:
Phone No q5y- �q4-/Syq
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail CISSgServicc.S @ gnna;1. corn
State or County License CFC. 319
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:
Address:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
Zip: Phone:
City:
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 thepermit 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
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 attornev before commencing work or recordinLy vour Notice nf CnmmenrPmPnt
x
x
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORJ
COUNTY OF 'T4. wci-e
jDA
COUNTY OF [,45Q QWd
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
A Physical Presence or Online Notarization
Y— Physical Presence or Online Notarization
this 31 day of Jul _'2020 by
this _,JL day of �,) y 2020 by
: rteu-roY'V-f g i arl i
A i )Lo Al e.xawid-a r
Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification
Personally Known OR Produced Identification '$e
Type of Identification
Type of Identification
ProducedQ��L _ pL
ProducedFL-bL_
7%� b ,,, ����,,,LIZ M. RFYFq(Signature
04 AR;EG
(Signature of Notar ;' a �tADPWitic)- State of Florida
of Notary a R9t09f�b id -State of Florida
Commission # GG 036708Commission
M-k
# GG 036708Commission
'.;9r %°:'
No.= My ComrhSeid�)res Oct 6, 2020
Commission No. My Comm.(pi� Oct 6, 2020
�. N^tary Assn
g National Notary Assn.
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 5/b/20