HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 01016-0
Date: 1018/2020 Permit Number: q-
9-17. LUCE
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial x Residential.
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax' (772)462-1578
PERMIT APPLICATION FOR: Removable Sail Shades
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Address: 3100 N Kings Hwy Ft Pierce - Legal Description - See Attachment 1
Property -Tax ID #: 1325-322-0002-000-4 Lot No.
Site Plan Name: Block No.
Project Name: Sail Shades
DDESC-RIffl,
Removable Sail Shades
New Electrical Meter Second Electrical Meter
'R 'T F,RMA I
Additional work to be performed under this permit— check all that apply:
—Mechanical —Gas Tank —Gas Piping
— Electric — Plumbing, —Sprinklers
Shutters Windows/Doors Pond
Generator Roof Pitch
Total Sq. Ft of Construction: — Sq. Ft. of First Floor:
Cost of Construction:$ 9.000 Utilities: —Sewer '_Septic Building "eight:
.OWNERJLESSEE
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City: Pie-y-a State:Lt
Zip Code: 4 qj- I Fax-
Phone No. q Q- 4
Name: (--',r+r\-j Fe -ins
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Company: i le
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city: ST Q k- CT
Zip Code:
Phone No 2.Q
E-Mail
State, or (Younty License
State
Fax:
3 913
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Fill in fee simple Title Holder on next page (if di Brent
from the Owner listed above)
If value of construction, is 2500 or more, a RECORDED Notice of Commencement is requited.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SllPPf�EIVIENTAE.CC NSTRi�CT[ONIIEN LAW. iI EOEtMAT{(]l .
DESIGNER/ENGINEER: _ _ _ Not Applicable
MORTGAGE COMPANY: — Not Applicable
Name: Paul Welch Inc
Name:
Address:
Address:1984SWB0tmoreAve Ste114
City: PortStLucie State: FL
City: State:
Zip: 34984 Phone 772789.9888
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 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.t+rrice 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
er or an
of pwner/ Lessee/Contractor as Agent for Owner
STATE OF
COUNTYI
Sworn to (or affirmed) and subscribed before me of
Physical Pre or Online Notarization
this ay of M%U0 VX5t i f, 2020 by
Name of person making statement:
Personally Known OR Produced Identification
Type of Identification
Produced
Notary Public -State of
Commission # GG 94
REVIEWS I FRONT I ZONING
COUNTER REVIEW
DATE
RECEIVED
DATE
COMPLETED
STATE OF FLORIDA
COUNTY OF W IVY-i 0
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this(��\Qdayof 004r ,2020 by
person making statement.
OR Produced Identification
Produced
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