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HomeMy WebLinkAboutPrettyman Permit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: ILU ICE I) k - Building 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 PERMIT APPLICATION FOR: I PROPOSED IMPROVEMENT LOCATION: I Address: 10:4 Zj S. Property Tax ID #: �-E�JI �J- C72 ` O[ ' ©C�Q 'L Lot No. 3 Site Plan Name: Block No. Project Name:ir�' I ICI YY1c1f'� IZCSc F DETAILED DESCRIPTION OF WORK: F,-,( � x %%Q- 0I cyAfA. cc.)rr& 4r) war New Electrical Meter Second Electrical Meter CONSTRUCTION INFORMATION: 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 k-Roof Pitch Total Sq. Ft of Construction: Cost of Construction: $ 11 , CIE5�-C�D Sq. Ft. of First Floor: Utilities: —Sewer —Septic Building Height: OW NERAESSE E: CONTRACTOR: Name Ja cld Pt ejfc maLn Name: r—bu&c' %s,01aj Address: lf>� 25 S (XCosl C r Lof 399 Company: CAt IS-VO E', UM4)e-(_ v City:JQ.n"w � Cc.cj`) State:,4 Address: Ffg S Nt�.rrY1,e �r % _'� Zip Code:.C(!5+ Fax: )� City: i S1 LQ,L l — State: PI Phone No. �L� 24�5 ` 0Coo I Zip Code: 754Ct52 Fax: n E-Mail: to Phone No d, (o2.1 • LP ZC v f3 Fill in fee simple Title Holder on next page ( if different E-Mail_DMu rQ- k S i-IC,Gor 1--N from the Owner listed above) State or County License UCj.i_9_2)) ZLP+ It 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: Zip: Phone Zip: Phone: FEE SIMPLE TITLEHOLDER: _ 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 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 attgx-ppy before commencing work or recording your Notice of Commencement. i ture of Owner/ Lessee/Con for as Agent for Owner ►gnature of Con racto /License Holder STATE OF FLORIDA� STATE OF COUNTY OF � � COUNTY OFORIDA� Swor o (or affirmed) and subscribed before me of Swor (or affirmed) and subscribed before me of Physical Presence or Online Notarization Physical Presence or � Online Notarization this _LL4 `day of OP- tL_. Ur , . 2020 by this 15 day of �` �Q CJU 2020 by C�al������ �� I) Name of person making statement. Name of person making statement. �--y Personally Known OR Produced Identification J/t- Personally Known V OR Produced Identification entification Type -of identlfcation. Produced L Produced (Signature of Notary P lic- State of Florida } (Signature of Notary bl" at r yp Notary Public Stag Fla Commission N ,, of Commission No. Pamela J Y Comm�'ry� yn Notary Public State of Florida 985470 or n Expires 06/15/2024 ' My co mission GG 96547 11 REVIEWS _,�� aitflNIE-P"esOT15NIG S ERVISOR PLANS VEGETATION SEA TURTLE MANGROVE �OTEbO"'`^ VIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev. 5/6/20