HomeMy WebLinkAboutBuilding permit application All APPUCABLE INFO.MUST BE COMPLETED FOI APP!L.ICATION TO BE ACCEPTED
Date:i Permit:dumber:
'Builiding Permit Application
Plarinr"ng and DevelopinentServices
Building and:Code Reaulvrion.6vision Co'rnerdal Residential-x
2300 Virginia Avenue,Fort Pierce Ft 34983
Phone>:(772)462- 553 Fax:(77 )462=1578
PERMIT�APPLICATION FOR
sRM-� +-ri �aF[n. TIYi i fJ& K' i 'Tsc f� 'fi #Wfy.y.. A'% .
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Address; 7437 Bdb:0'link Miy Port,St Lucie,FL. 34986
Property Tax ID:##; 3322-505-00' 37.000-fi Lot No;28
Site P1arl ame:`Rekus
Black No.,
Project Name: Rekus
Sp `
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[iagror�ntf suvimming,poal anc#.dsclt uv1 Screen IKnclostirs '
New Electrical Meter. 5ecpnd Electrical Meter:
R/ 1\JIy. T � � I� TB'R►' % k .''-. 'tT ,j�4�vy. d "i" -T3'IG'�e J°t°4'k'l&✓f & 4 0.
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Additional work to be performed under,this permit—.check.all that apply:
lvlecttanical __Gas Tank Gas Piping Shutters Windows/Doers Pond'
.Electric Plumbing _Sprinklers _Generator Roof Pitch
Tdtal 5q.Ft of Construction: Scl. Ft.of First Floor:
Cost'iaf Construction:$ r r i=�,'��Q Utilities: Sewer " Septic Bui(diiig Height;
Name Edward or Moria S Rekus Name:"Wade_M Clarke
7437 Bot Mink Vila
Address:: y Company.Horizan Roofs Inc
Cit}r: Port St:Luc ie. State:i Address:5423 Stately"oaks St
Zip:[od : 34986 Fax: City; Ft Pierce State:fl
p : 34981'
Phone No. � Zi Cone: Fax
E-Mail: Phone No:772-207.2523
Fill.in fee simple Titl.e.Holder oh next page(if,different E-Mail.horizonpools.sandy@-rmail.corn
from the'Owner listed.above) State or County License CPC145 644
If value of construction is 2500 or more,a RECORDED Notice of Commencement is,required.
tf value of`14AVC Is V SWor more,al RECORDED Notice of Commencement is required.
i
�y i i• $` 91
DESIGNER/ENGINEER:: Not Applrcabte ;I ORTGA�GE.CC?�IPA14y' x Not:Appl cable_
Address lay,h Address.
City Stag: Cll y State:;
� -
Zip, e, , Pfionez ic,.�s Zip P,Hine _.
OEt51tNaurrLE HOLDER: Not Applic6 le SONDING:.eOMPANYi �_Not Applicable
Name: h#anae:
Address.. Address:
Cityr city:
Phone; Zip;. Phone;
OWNER/CONTRACTC?R AFFtDUITs ppticat i+n.is heretty:rriad' to obtain pecrnit.to;do the tuark andln'stallaud'n as j'ndicated:
l'certify.tl►atno�workor.`instaliatl arthas:commenced pnorto the;issuance of"a_oermit,
St.Lucle.Churl, rakes no representation that.is granting a perm t,1111 authcdze;th emn t holder to buiid:the subject.structure
which is in con ict with,any applicable Home 0�veers Askoapoh rides,bylaws o r an�covenants that may'rostnlct of prnh biti sucfr..
structure.Please`aonsult i06 your Hom► ow. rsAssociati,ors and review your°deed.for any:restrict ons°u✓hich ma r apply,
.'In,consideration cif the;granting ot:thl's te4u6sied permit;i,do hereby agree that I will,in all respects,perform the
h accordante-with t#ae,approved plans,th'e l=liac da Building Codes and.St.L66 ounty'ltrnendmerits;:
The fallowing building permitapplications'are exemoi"from undergoing a full caneurrency;review:"room:additions;
accessory structures,svtimming pools,;fences,walls,s�gns;.screenxogens and accessary uses: anather`non-re5ldentlal:use.
WARrNIN�TOOWNaR uo propet t -Notice .otice of��ommencement.may result in paying, itelor
p y f Comrnencement.must,be recorded rn ttl€ ubilc records of 5t;
Lucie County and posted oh'the jobsite before.the first inspectiom,If yot ,rr�tend to obtaln financing,consult
with lend :or ail attorne fare commenc n work or record'n`. o6r Notice af" ommencemerit.'
A0
SigraatLr of Owned lress¢e/[i istractor as Agehf for Owner Signature of C j*act, jlicehw.Haidee
STATE OF FLO.RIDA STATE OF FLORIDA,
-ccluNrx t}i?� Vie: Ccrurtnr OF
Swta(car affirmed)and su6sc.nbed 6efare m cif. Swa , to for affirmed and subscribci:before roe of
Physical Presence r online hto t'arizatiars hysicai;Pi esence o online Natar iation
this. day oft�20 lay this day pft12ti by:
Name of persona Making.Stat ent Name,&person rnak ng statqment.
Personally Known OR:Produced-ldentificat on 'Personaliy;Knae+tn: I7R ,roduced ident ficatlars'
Type of Identification Type of Identification-.
Prod u d Prod'
€ (Sig ore of Notary Public stafj6AM04ri raharn (Sig ure".of Notary Public-.State of da.):
Caarimission Igo, NQTARY PUBLlG'
Josandra ! am
TATE:O~RIDA. Commission No: OTARYE
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_STR7EOFFtOFtiDtl
cep r _..
REVI t1vS FRONT -ZONING SUPERVlS R PLANS I► GETATI >5 #1 i2 IARiGRQVE ,
i tOPMER REVIEW REVIEW REVIEW REVIEW- REVIEW REttIE(A!
DATE
RECEIVED
DATE
COMPLETED 'i'. gg
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