HomeMy WebLinkAboutPERMIT APPLICATION 7323 MARSH TERRACE All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
D ate : Permit Number :
° ° p �� Bui lding Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue,, Fort Pierce FL 34982
Phone : ( 772 ) 462 - 1553 Fax : ( 772 ) 462 - 1578
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PERMIT APPLICATION F R v 7
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PROPOSED I M PROVEM EN T LOCATION : � � .Eh �. _40- -. _ . � . : .
Address : p� 2. S d��_11 C3� e o Io � T ewovoc:e! e
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Property Tax ID # : � WNW* �{�� � 1 —� Lot No .S 'Ite Plan Name : Block No .
Project Name :
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DETAILED DESCRIPTION OF WQRK `y41� �}� ��� �� ��' � 4r . L7 4f
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CONSTRUCTION INFORMATION . 1.
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Additional work to be performed under this permit — check all that apply :
_ Mechanical _ Gas Tank _ Gas Piping _ Shutters Windows / Doors _ Pond
Electric _ Plumbing _ Sprinklers _ Generator � Roof Pitch
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Total Sq . Ft of Construction : Ck, (D Sq . Ft . of First Floor :
Cost of Construction : $ � U Utilities : _ Sewer _ Septic Building Height :
OWNER/ LESSEE . ` "' � CONTRA CTOR41
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Name �. C— C/ Name : , 5
Address : � .�.� U (�s' � � i� � Gv Company : .Q �„ � Cp w, ►� Loe � o
Ci t y : � v �. t� cam' � State : Address :
Zip Code : 3 'y ) a� �p F a x : C it y : aoSL� (00 C;, Q ate :��
Phone No . �i>� � 'y T � _ � q � � Zip Code : c3�/ q �' � Fa x :
E - Mamil . � 24111111/v✓� 5 .eq oo . czyvy%� Phone No � � '� y _ 8
Fill in fee simple T*I t ... .......................................... ..........................
le Holder on ext p e ( if different E - Mail�.. �v,1 Ck I —
from the Owner listed a bove ) State or County License
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 .
SUPPLEMENTAL �CONSTRUCTION LIEN LAW INFORMATION :
DESIGNER/ ENGINEER : _ Not Applicable MORTGAGE COMPANY : _ Not Applicable
Name : Name :
Address : Address :
City : State : City : State ..
Z 0i p : Phone Zip : Phone :
FEE SIMPLE TITLE HOLDER : _ Not Applicable BONDING COMPANY : _ Not Applicable
Name : Name :
Address : Ad d ress :
C i ty : C i ty :
Zi p : Phone : Zip : Phone :
OWNER/ CONTRACTOR AFFIDVIT : Application is hereby made to obtain a permit to do the work and installation as indicated .
certify that no work or installation has commenced prior to the issuance of a permit .
St . Lucie County makes no representation that i s granting a permit will authori ze the permit holder to build the subject structure
which is in conflict with any applicable Home Owners A ociation rules , bylaws or and covenants that may restrict or prohibit such
structure . Please consult with your Home Owners Associ ation and review your deed for any restrictions which may apply .
In consideration of the granting of this requested Perm it, 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
W A R N I N G T 0 OWN E R : Yo u r f a i l u r e t o R e c o rd a IV Q tt i c e of C o m m e n c eme n t m a y r e s u l t i n p a y i n g tw i c e fo r
improvements to your property ., A Neitic. e of Commencement must be recorded in the public records of St ..
Lucie County and posted on the jobs ite before the f irst inspect ion . If you IF to obtain financing , consult
with lender or an attorney before commencing work o -r reco-rding y Notice of Commencement .
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Sigrfature of owner/ asAgent for �Owner Signature of Contractor/ License Holder
STATE OF FLORIDA I STATE OF FLORIDA /
COUNTY OF � ,'� � 1_� � (`d�, COUNTY OF "� a , - �
Sworn to ( or affirmed ) and subscribed before me of Sworn to ( or affirmed ) and subscribed before me of
P ys 'ical Pres ce r Online Notarization Physical Pres ce r Online Notarization
this 1 d 1 ay of , 2020 by this � day of , 2020 by
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Name of person making statement . Name of person making statement .
Personally Known OR Produced identification Personally Known OR Produced Identification
Type of Identif, tion Type of Ide i anon
Produced Produced
ir
( Sig ature , Pi c , k EN ( SignatudRI/
1
�=o1P UState of Florida - Notary Public
� ��PR� PL �% KAREN S , NIELS
comm 'Iss *10 6� � = Commi > s io n a GQiS��Vj commis " � _ fate of Flp � � � a - Notaryl �
'E 1opP,' "• 1 y C o mmis sio n E xpires ; f a` . o m rmssion ;�
tune 12 , 202
2 ,,, o. , .o .�' My C o m missio GG 207484
Expires
2022
R EVI EWS FRONT ZONING SUPERVISOR PLANS VEG ETATIONI U I % I L. L ANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev . 5 / b/ 2U