HomeMy WebLinkAboutBuilding Permit Application 52 Aqua Ra DrAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: K ( (o (¥>a.o Permit Number: 00 g-0 ~l \
ST. LUCIE COUNTY ,
FLORIDA........._ 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:
----
Property Tax ID #: ----------------------
Site Plan Name: -----------------------
Lot No. ___ _
Block No . __
Project Name: ------------------------------
DETAILED DESCRIPTION OF WORK:
New Electrical Meter ____ Second Electrical Meter ____ _
I CONSTRUCTION INFORMATION:
Additional work to be performed under this permit -check all that apply:
_Mechanical Gas Tank _ Gas Piping Shutters _ Windows/Doors Pond
Electric ::i.Plumbing _ Sprinklers _Generator Roof ____ Pitch
Total Sq. Ft of Construction: ______ _ Sq. Ft. ofFirst Floor: ________ _
Cost of Construction: $---=-\ _1-_,;S-~O;;;...._, __ _ Utilities: Sewer _ Septic Building Height: ___ _
OWNER/LESSEE: CONTRACTOR: .· I' ..
Name TOd d 'SO'") ftb Name::rJ fY'Oth#i 0o W()i n i
Address: '5J.. AqUC\ f<C\ Or . Company:llrC\d(-Q (\ Pluml:)i3aiLLC
City: ~-e,me.t\ State:PL.., Address d6ia 5£ (YY).nru
Zip Code: 3YC'f'51 Fax : City: 1-:ort-St-. WU t State:FL-
PhoneNo. Zip Code: 3L{_,Cfi 3 Fax:
E-Mail: t<eQlet-tcdd~hOtmo11,coM Phone No ·11 d> -071 -I a,S-8'
fill in fee simple Title Holder on next page ( if different E-Mail t;ro,d iii Of\ j2 I Ul'f\b1~@~~l.tl1'
from the owner listed above) State or County License CF GI L.f 3 ~8
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:
. ., , '-i:·' ., , ,,
<
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: ~ot Applicable
Name: Name:
Address: Address:
State: State: City:
Phone --City: --Zip: Zip: Phone:
FEE SIMPLE MLE HOLDER: Not Applicable BONDING COMPANY: i.,..,--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
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 attorne before commencin work or recordin our Notice of Commencement.
Signatu Agent for Owner
STATE OF FLORll}A . COUNTY OF ~±:. WC.le
Sworn to (or affirmed) and subscribed before me of
V Physical Presence or __ Online Notarization
this 3.L day of Augu St • 2020 by
IfmOrn,~ O?\ND 1~
Name of person making stateme
Personally Known \L OR Produced Identification
Type of Identification ~-/
(Signature of Notary
Commission No. :..:H..:.H..:..=li'-""~F"i
REVIEWS
DATE
RECEIVED
DATE
ED
FRO
COUNTER
STATE OF FLORIDA s I L iO COUNTY OF :-t--.,/_,,e,,e/ -c.,
Swor!!Jo (or affirmed) and subscribed before me of
_LPhysical Presence or Online Notarization
this -':z_ day of ft, --. 2020 by
·L ·:'.h-~ D0!(11'.k/et 11
Name of p rson making statement.
/oR Produced Identification __ _
of Notary Public-State
Commission No . 6 G qfl:;6/i . xr.• J; -~•
···~ .,t ,-... \\\\\~ .,,..;m;-" •
PLANS VEGETATION SEA TURTLE MANGROVE
REVIEW REVIEW REVIEW REVIEW
6614
2024
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