HomeMy WebLinkAboutAubrey AppII APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Permit Number:
Date:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 Residential
Phone: (772) 462-?553 Fax: (772) 462-1578 Commercial
PERMIT TYPE:
P(U-�
Address:IF041�J�����-�J a,
Lot No.�
Property Tax ID #: �Jaa'a
Block No. 14a._
Site Plan Name:
M,-; .r* KImmo-
Additional work to be performed under this permit- check all that apply:
Mechanical
Electric
Gas Tank
Plumbing
Gas Piping
_ Sprinklers
— Shutters
Generator
Total Sq, F` a� Construction: Sq. Ft. of First Floor: _
$�_�Utilities: _Sewer _Septic
Cost of Construction: —
Name
Address: (0g10 9,10 d
r
Cite: �I.PXik1_ State:
Zip Code:
YJ� Fax:
Phone No.14o ka- Q 0 --1 oW.4
E-Mail. _—
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Windows/Doors
Roof Pltch
Building Height:
Name: )[I U111`10 WAAKr
Company: tul►A G1ttYX�,SG of 1'eiiur� 1�A �PtlSi
Address: 110 13 'rQMa��!"--�� b(-` bow
City: (n ja,1, fir .✓ PsQLtG� Stater
Zip Code: 33 9bl Fax: 3;L 717'`Fa --�L—
Phone No -7%a-337''4lf-10
E-MaiISLttm
State or County License QO/-)11
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
if value of HVAC is y7,500 or more, a RECORDED Notice of Commencement is required.
DESIGNER/EN
Name:
Address:
City:
Zip: ---- - -- Phone
Not Applicable
State:
MORTGAGE COMPANY: — Not Applicable
Name: —
Address: --
City: State:.__
Zip: Phone: —
FEE .SIMPLE TITLE HOLIDER: Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
cable
!T Address -
City: City:
Zip: _ Phone: Zip: Phone: J
)WNER/ 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.
>t. �ucit l;a�nty lnake.; no representation that is granting a permit vviil auihorize the permit holder to build the subject structure
lithich
nrsult withp applicable
Hlome Owners Association ron andrreviewyyour deed or any restrictions wh which may appllyhlbit such
n consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
n 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,
cc,�s,-or; structures, sWirming 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 YOUR PAYING
TWFX FOP LM�pnOYEMENTS TO FOUR 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 RECORDING YOUR NOTICE OF COMMENCEMENT." __7
Signature of caner/ Lessee Contractor as Agent for Owner Signature of Contractor/License Holder
SATE "FFLCni
COUNTY Cs-__, _ ----- —
The F r oin6 ir'st''ulroerit was acknow,eoged .oefore me
this l day of 2020 by
_(_UJA
Name of person rraking statement.
Percona!,y Knowr, _- (__- OR Produced Identification
Type oil icient-ficat.c-,
Produced.._..._
gnatilre ; Notary Public State of Florida
"LV& blic State of Florida
Commission No. (p Y "'• N Antonelli
Ashley
h:_ A Commission 21 152970
-__H
REVIEWS I FRONT
I COUNTER
DATE
RE_-EIVED
DATE
COMPL..c.T
STATIL OF FLOW
,( ZOU 7Y OF
10u ;or wing instrument wa acknowledgeo before me
this_ day of , 20W by
na , P
Name of person making statement.
Personally Known OR Produced Identification
iype of identification
Produced_.-__
.. Signaturgf Notary Public- State of Florida
is Sion No
IGETATI
REVIEW S REVIEW OR I REVI PLANS W I V REVIEW
�_-
Notary'Public, State of Florida
Ashley M Antonelli e
' FXo i�s 018/2021
W