HomeMy WebLinkAboutDebbie Barrow 360 SE Gasparilla Ave, PSLV,ry1A1LED
All APPLICABLE INFP MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
a `'l
Date: 9/'/"`7
Permit Number:
Llse_TC
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential_
2300 Virginia Avenue, Fort Pierce FL 30982
Phone: (772) 462-1553 Fax: (772) 462-1578
rtRlVI I I APPLILA I ION FOR �Z �MJ;y„r Jove -
PROPOSED IMPROVEMENT LOCATION:
Address: -3 • t, S C- hS f,ar, A r v t
Property Tax ID R: 3 I Y -S -3a - ola3 —000- I
Site Plan Name: N1A
Project Name:
DETAILED DESCRIPTION OF WORK:
uo
o n�cc�i :'e,✓
.3g/YS_3
Lot N
Block
ro--, t7 J,,” L,. n, cci)cN
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit -check all that apply:
_Mechanicalyas Tank _Gas Piping _Shutters Windows/Doom _Pond
_Electric �_/%Plum
bing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft First Floor:
Cost of Construction: $ 9go Utilities: ✓ Sewer _ Septic evilding Height _
WNER/LESW:
CONTRACTOR:
Name. e_ r\ ( 9-rrs v.!
IName: ". l•.N �- 1,�9' t�
Address: -7(10 S<1 9S/Mll(? /j'✓c-
Company: ,a, ,, 71 ,SVTtl jc,r ;c. T,c.
_
City: ,L/ (- State: /�C
Zip Code: -59 7 53 Fax: ✓ta
Phone NO. -7 1- 3''/q- N�
Address: CJAZIO 1 044
Ci Ff - Q7<"'
city: State:
Zip Code: JV9Yl Fax: 77J-y�' 7Z7�
Phone No
E -Mail: N 2
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail �o�e�Rccvnv7�,fsp7f\
. rvs.7
State or County License 4 c/yzs-b-S-3
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required,
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Name:
_ Not Applicable
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:
ATE OF FLORIDA
Address:
.
COUNTY OF Sf Gdtta'�.
City:
Zip: Phone
State:
City:
Zip: Phone:
State:_
FEE SIMPLE TITLE HOLDER:
Name:
_Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
Address:
To ✓ [ _ ARS
Address:
Name of person making statement.
City:
—�
City:
Personal c ti In
Zip: Phone:
Typeofldentification 'J' MftISS4V BROTHERS
Zip: Phone:
P, cad iota cvbno.
"�'.( ry SteteoERSondd
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 Counttyv makes no representation that is granting a permitwill authorize the emit holder to build the subjectstructure
which is in conFlict with any applicable Home Owners Association rules, bylaws or anscovenants 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 attorney before commencine work or recordine vaur Notice of Commencement_
Signature of Owner/Lassa C dor as Agent (ar Owne
Si ture of Contractor/License Holder
STATE OF FLORIDA
ATE OF FLORIDA
COUNTY O '
F S><' Lyc
.
COUNTY OF Sf Gdtta'�.
Swor9 to (or affirmed) and subscribed before me of
S� to (or affirmed) and subscribed before me of
✓Physical Presence or nline Notarization
Physical Presence or Online Notarization
this�day of 2020 by
thisZ-Ldayof 1 1., L 2020 by
e6b;C
e
To ✓ [ _ ARS
Name of pers n making statement.
Name of person making statement.
—�
ersonally Kn'aw g44�,a2� Is 11 I4 -
Personal c ti In
Typeo 6�' 4�. MEaSS4V BROTHE
��^�. Notary pi.bik-Suite of Hard,
Typeofldentification 'J' MftISS4V BROTHERS
Pro uc ed _lynmlss1. ee zut0e
P, cad iota cvbno.
"�'.( ry SteteoERSondd
e�1.xL
My Comm. Expires Apr 11, 2031
'. omminlan p Op 213104
'^?eFna'-mm.
Balked Ihrouth Ndtlplal Notary use,
UPI A
y a Bonded throe h I p res r I I, 2021
(Si a[lire of Nota Pub ic- tate o lori a
6 ry
(Ignature of Notary Public- tae o uy,1s .
Commission No. (Seal)
Commission No. (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
All APPLICAB{.E INFP MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
gl//
Date: °Z O1, '' J Permit Number:
J J ! Building Permit Application
Planning and Development services
Building and Code Regulation Division Commercial _ Residential ZK
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: CZry.,/;{.,� Jwcr Con�w�"de✓
PROPOSED IMPROVEMENT LOCATION:
Address: 3 �0 SU (OJ(_ .1ci`I5!J
Property Tax ID #: 3 H I I- S-3 O- O I a.3 — O o 0- I Lot No._
Site Plan Name: A11A Block No.
Project Name: 67,
DETAILED DESCRIPTION OF WORK:
ir?J I U rr J vlt L/O t2v(- 6r?,,TY _C,1r
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit - check all that apply:
_Mechanical _$as Tank _Gas Piping _Shutters —Windows/Doors _Pond
_Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. ft. gf First Floor:
Cost of Construction: $ 90d Utilities: ✓Sewer —Septic Building Height:
WNER/LESSEE:
CONTRACTOR:
Name c u \
Name:
o N q c�
Address: 360 S<'. atprrili? /$'✓�"
CompanyA,r rrf, sc/Ytt forvJc..r� TQC
p- f L State:(
City: J12 -1
Zip Code: Fax: ✓/a.
Phone No. 77a- 3y4- NLaw
Address:
4/a0 Y%Jy ('Z I e�
City: /--f- ��rK State: f—G
Zip Code: 3y91Fi Fax: 72�3
Phone Noyl-%?ate
E -Mail: /t/ 2
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail
\MQ/4ecyr✓T�.Se(+Tr� • r'rs"
State or County License
If value of construction is 2500 or more, a RECORDED Notice of commencement is requnea.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.