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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE,INFO MUST BE.COMPLETED FOR APPLICATION TO BE,ACCEPTED Date: 9/20/20. Permit Number ft - w: r*... Building Permit Application Planning.and Development Services Building and Code Regulation Division Commercial Residential X 2300 Virginia.Avenue,Fort Pierce FL 34982 Phone:(172)462-1553 Fax:(772)462-1578 FPERMITAPPLICATION FOR: pp { i l'G r : Address: 3201 S 23RD,ST FORT PIERCE Property Tax ID Ii; 2428-6.04-00081r000-0 Lot No. 8 " Site Plan Name: Block No. 1 Project Name: slingsby is DETAIL ©;QESCRIPTtOi OFy�11lORl<� ; l 3 , r REROOF WITH SHINGLE =S New Electrical Meter Second Electrical Meter' �CCiN�JT�UCTIQN INFORt�IATEC}i �� _� {{'} Additional work to be performed under this permit—check all that apply: _Mechanical _Gas Tank _Gas Piping _Shutters in ws/Doors ^.Pond _Electric _Plumbing —Sprinklers _Generator Roof 1 12;2:12. Pitch Total Sq. Ft of Construction::10 Sq. Ft.of First Floor: Cost of Construction:$.6600 Utilities: Sewer !Septic Building Height:. ' ?.✓ _: .. ... "1� v:•r ^Y.. _ _. ,'.- .. r .. '. ,_ C M,s&sr,3.....y,..,.,,,e�.. ..r.._« � .,.b.5....Fvi.,. .....�.-i.. -..».._-.. _e! _ x 4.d:. Name Name: C Address:3201'S 23RD ST Cam p Y an highland homes:of sebastian Inc i City; ft peirce State:_ Address 1136 us1 Zip Code: Fax: City: sebastian State:fl Phone No.321,2715514 : Zip Cade:.32958 Fax I E-Mail: Phone No7723881411 Fill in fee simple Title Holder on next page(if different E-Mailhhroofing2@gmail.com from the Owner listed above) State,or County License rc29027628 If value of construction.is 2500 or more,a RECORDED Notice of Commencement is required. If value of HAVCis$7,500 or more,a RECORDED Notice of Commencement.is required. ' UPPLNkNTlL CQiSTRUCTC}NLIEN LAV~! }NFORNtATCI } "�� DESIGNER/ENGINEER:J ,Not Applicable MORTGAGE COMPANY. _ Not Applicable Name Name:. Address: Address: City: Stater I city: Zip Phone State: Zip: Phone:. FEE SIMPLE TITLE HOLDER, _Not Applicable BONDING COMPANY: 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 grantinga 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 of r mencing work or recording our Notice of Commencement. f _ i Signature of O rJ Le e/Contractor as Agent for Owner � Signatur of Contr orf!:icense Holder STATE OF FLORIDA l STATE OF FLORIDA COUNTY OF W&ct 1(1 COUNTY OF ind an nv>r , i Sw to or affirmed)and subscribed before me of ( Sworn to(or affirmed)and subscribed before me of Physical Presence or Online Notarization x Physical Presence or.Online Notarization this 8 day of W bCjj�- 2020 by this 29 day of sepcember 2020 by i Name of person making statement. Name of person making statement_ 3 Personally Known /"0_ORProduced Identification Personally Known x OR Produced Identification Type of Identification Type of Identification Produced Produced 3 (§i7griaturiFo7 Notary tk r..Ra e o 3 r r; nit (Signature f Nota j c LEAH BALL l Commission No. ��n^zus"; i 007792 commissing" I. t Ex�iresC tuber ,2024 Commission No: t rEdsC Fhta T Fain lcsrnan v, g XpEtBS yVYy �Y ceS00;,S5.7G,5 REVIEWS FRONT ZONING SUPERVISOR PLANS I; VEGETATION I SEA TURTLE MANGROVE 1 COUNTER REVIEW` REVIEW REVIEW is REVIEW REVIEW REVIEW RECEIVED l l .DATE . COMPLETED Rev. LEAH ALL commission#HH 007792. lcrioe�'T.hn�Troy Fain lnsnranuz SQQ•395.7019