HomeMy WebLinkAboutCarlton Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
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P-.
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Permit Number:
Building Permit Ar plication
Planning ar,d Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
((--'o m m e r c 0'a 0
Address: Q.� ��j�-�-:-�-. �fr�Y
Property Tax ID G 0
Site Plan Name:
PIT,
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Project Name: I b
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New Electrical Meter .__ Second Electrocal Meter
Additional work to be performed under this permit— check all that apply:
Mechanical Gas Tank Gas Poping Shutters
Electric Plumbing Spink hers Generator
I
Total Sq. Ft a' Construction:
Cost of Construction: $
Residential
Lot No.
fflock No.
— Windows/Doors Pond
Sq. Ft. of First Hoor:
Roof Pitch
Utilities.- Sewer Septic Building Height:
Name:
Company:
VJ -
city:
State: Address:
Zip Code:
Fax:
city:
State:
C-1 `7 Fax:
Phone No. JI 2,-, - 77') (k" 1112_);
Zip Code:
E - Mail:'
Phone No
Fill in fee simple Title Holder on next page if different E -Mail 'i'l
(OU�
from the Owner listed above)
C
State or County License���`A
If value of construction is2500or more, a RECORDED Notice of Commencement is requked.
If value of HAVC is $7,5®O or more, a RECORDED Notice of Commencement is required.
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DESIGNER/ENGINEER:
.. .
Not Applicable
FM 0 RT GAGE COMPANY: IMUL Applicable
Name:
Name:
Address:
-
City: State:
City: State ID
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: —1
t A p P I i c a b e
—
BONDING COMPANY: k--�ot Applicable
Name:
Name:
Address,.-
Address:
City:_
city.�
Zip: Phone:
zip.. Phone.-
nIAMCD / rtnPqynAf%6rr%n AN-ff-1M%B@wV_
%""'a-"` %-wlv i nm%. i %Jn mrriuvi 1; Application os 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 Count V Amendments.
The following building permit applications are exempt from undergoing a fWconcurrency 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
wit 44e-Ader ®r an ajAnm-ftv. before commencing work or recordiM our N of Commencement®
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Sigma ae of 0 w n e r/ t,(actor a s7Ag e int for Owner
�er
STATE OF FLORIDA
J'j
COUNTY OF Al'
Swqf-,n to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this '1 -dad;, of
2020 by
A
A
Name of person making statement.
Personally Known %000� /
f IdentificationOR Produced Identification
%yp
i dl
#(Signa of "N�ary
Public- Stat
_e_o��
I
ission No.
SHANNON DEPUE
MISSION #GG026573
05, 2020
EX IRES: SEP
Bonded through 1 st State Insurance
REVIEWS
FRONT ZONING SUPERVISOR
---------
COUNTER REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETE®
ev. 37672 -0 --
Signre of Co-'n-'-tractor/�Lice--n--s—e-",- — Iden
STATE OF FLORIDA
COUNTY OF
Sworn,,to (or affirmedand subscribed before me of
I Physical Presence or Online Notarization
this 2, day ®f
2020 by
I fl, P,
Name of person making statement.
Personally Known OR Produced Identification
Type of Identification
Produced ,--i
T
(Signatyl. �ootaWublic- t 11PIUM-050-
SHANNON DEPUE
M
Commission No. Y, SSION #GG026573
(QS: SEP 05, 2020
Bonded through 1st State Insurance
PLANS VEGETATION SEA TURTLE MANGROVE
REVIEW REVIEW REVIEW
REVIEW