HomeMy WebLinkAboutpermit app - TurnerAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
•
r R
Planning and Development Services Building Permit Application
Building and Code Regulation Division
2300 Virginia Avenue, Fort pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial — Residential
PERMIT TYPE:i,
PROPOSED IMPROVEMENT LOCATION:
Address: 33LZ ,Je-�r
Property Tax ID #: 2-o S' 6v i
Site Plan Name: rn- r d e;Icc
Project Name: .2v-Ke , -
s,
DETAILED DESCRIPTION OF WORK:
er+w v� C e- p I.2-
CONSTRUCTION INFORMATION:
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Additional work to be performed under this permit -check all that apply:
`Mechanical _ Gas Tank _ Gas Piping Shutters
Lot No.—ft—
Block No. I Z
Lc-
XWindows/Doors
Electric _ Plumbing Sprinklers Generator Roof ` Pitch
Total Sq. Ft of Construction:
Cost of Construction: $ � 0 0
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
OWNERAESSEE: CONTRACTOR:
NamesA T-) Name: Jf '[ �Jc.l�•c�r�
Address: 330 Z /9ve--
( �`
Company.
City: orb- i 1+_e_ State:'- Address:.37-31 5,E
Zip Code: Ci Fax: City: 4- State: - L
Phone No. ' Z - 0'Z - 0 Zip Code:4 `L cij '7 Fax:
E-Mail: Phone No n Z ' a:SDS-
Fill in fee simple Title Holder on next page ( if different E-Mail I YV -o r L �J
from the Owner listed above) State or County License_ ,3
66, L
If value of construction is $2500 or more, a RECORDED Notice of Commencement Is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN
DESrGnrFl�i�R,r.�.-., LAW INFORMATION:
'' - "*"�^•
Name: Not Applicable
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: *Ot Applicable
Name:
Address:
City..
Zip: Phone:
MORTGAGE COMPANY: D-Not Applicable
Name:
Address:
City' State:
Zip: _. Phone:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
Zip:. Phone:
OWNER/ CONTRACTOR AFIFIDVIT: 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 Countyy makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in con, 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.
Inconsideration 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
"WARNINC TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDINC YOUR NOTICE OF COMMENCEMENT."
Signature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY
The forgoing instrument was acknowledged before me
this Z6 day of c: #- 20 20 by
r- )_� S. T�j cl�� n
Name of person making statement
Personally Known K_ ` OR Produced Identification
Type of Identification
Produced
>Vgnature of Notary Public- State of F o
Commission No.'+3 'igSEPF1BADIAII
(O 274212
� I. N 25, 2022
REVIEWS FRONT ZONING
COUNTER REVIEW
DATE
RECEIVED
DATE
COMPLETED
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF JA1j_ r`y,
The forgoing instr meat was acknowledged before me
this :L_ day of _j�_ 20 7� by
Name of person making statement
Personally Known o _ OR Produced Identification
Type of Identification
Produced
re of Notary Public- State of Florida )
ission No.
MY COMMMON # GG 274212
SUPERVISOR PLANS VEGETAT Q" •i 12
REVIEW REVIEW REVIEW REVIEWI -,-R,EVIEW