HomeMy WebLinkAboutBennett Bldg Permit App10062020All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: I errI �a E'-;�0 Permit Number:
Building.Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Commercial ?V Residential
PERMIT APPLICATION FOR: ( a4V
PROPOSED IMPROVEMENT LOCATION:
Address:�0
Property Tax ID #:-/ 'Qb -7 Lot No.
Site Plan Name:
Project Name: _
DETAILED DESCRIPTION OF WORK:
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New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Block No.
Additional work to be performed under this permit- check all that apply:
_Mechanical _Gas Tank —Gas Piping _Shutters _Windows/Doors _Pond
Electric WPlumbing Sprinklers ^ Generator Roof Pitch
Total Sq, Ft of Constructioon:!! --
Cost of Construction: $
Sq. Ft. of First Floor:
Utilities: Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name
Name
Company:)
Address: t S yam
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Address:gs-w 5 0 Clan b frty--e:
City: zyujC22$,kA b11" -k State:l�-
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Zip Cade: Fax:
Phone No. To- ? a-3- Lt L(. CA
City: !�.�X bgA=:Ek
Zip Code: zLeg �% __ Fax:
Phone No DJ51-'13c{5'
E-Mail--Lk/ti1ASSc Sfi-�� '�Sd�'1
Stater
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E -Mail:
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Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
State or County License CC
If value of construction is 2500 or more, a. RECORDED Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the worx ana instanation ab muiroteu.
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a 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 insIf you intend to obtain financing, consult
with lender or an attorney before commencing work or recordin aur Notice of Commencement.
-- Aej,�n=
[.STATE
gnature of Owner/ Lessee/Contractor as Agent for Owner Signat e f Contractor/License H�er
OF FLORIDA STATE OF FLORIDA
COUNTY OF ST . Ll��c-c-' COUNTY OF
Sworn to (or affirmed) and subscribed before me of Sworn to (or affirmed) and subscribed before me of
)00 Physical Presence or Online Notarization Physical Presence or Online Notarization
this day of OC TT0(SS#e— 20QVby this �,d day of O 205.dby
Name of person making statement. i Name of person making statement.
Personally Known OR Produced identification
Type of identification
Produced
{Signature of Not u ' - State of Florida }
MICHAELRAAZ
commis!' n � P�A�� C,AQon # GG 310620
—���nmLC`�'f� * Expires July 20, 2023
"_.!.
Personally Known .� OR Produced identification
Type of identification
(Signature of
M
REVIEWS FRONT ZONING SUPERVISOR I PLANS VEGETATION
COUNTER REVIEW REVIEW REVIEW REVIEW
DATE
DATE
COW
State of
QMI AEL RAAZ
C6 on # GG 318620
Expires July 28, 2023
SEATURTLE I MANGROVE
REVIEW REVIEW