HomeMy WebLinkAboutBuilding Permit Application_ 1
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION -TO BE ACCEPTED l
Date:.Permit Number:'
IT'If 1I71 LIE
Building Pe:lrm1t App ication-
Planning and Development Services .
Building and Code Regulatlon.Division COM'I71ercial "' Residential X
2300 Vlrginia Avenue, •Fort'Pierce FL 39982 , , :. � '
Phone: (772).4:62-1553: Fax. (772}462-1578
PERMIT APPLICATION:FOR:: Gal'age Addition:
PROPOSED IMPROVEMENT LOCATION:
Address' iau/_..Unwooa Hve
Property -Tax ID.#• ' %Z� SC(7�.:..®'$a' .d0� Lot No. 7 & 8
Site Plan Name:. MARAVILLA PLAZA.... . Block No. 7.. '
Project N 'me:.Garage Addition
DETAILED DESCRIPTION OF WORK:
15' X'29' Gara e.wails,.'Gara a doors Door Roof'Trusses, Roof Shingles; Electrical :outlets a
.gip,
New Electrical Meter No- - 'Second Electrical'Meter No
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 Roof Pitch
Total Sq. Ft of Construction: 435 Sq.'Ft. of first Floor.
Cost of Construction:. $ Utilities: Sewer..._ Septic Building Height:
OWN ER/LESSEE: CONTRACTOR:
Name'JerardoAguilar'.: : • ;: Name:
Address:1802 Linwood Ave : Company:
..
City:.Fort. Pierce.. :... • State: Address:.
.
Zip Coder 34982 fax: City:' State: '
Phone No: Zip Code: Fax:..':. .
772-224=1398
Groc006 mail:com.
E-MaiL . @9 . .. � . � • Phone No.:...
Fill in fee simple_Title Holder on next -page' (iif'different E-Mail '.
from the Owner listed above). State or County License .
f value oftonstniction is 2500 or more,:a.RECORDED'Notice'of.Commencement Wrequired.
If value of HAVC Is.$7,500 or more;:a RECORDED Notice of Commencement N 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 TITLE HOLDER: Not Applicable.
BONDING,COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
zip: Phone:
OWN ER/'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 subjectstructure
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, l do hereby agree that i will,. in all respects,perform the work
in accordance with .the approved plans, the. Florida Building Codes.arid St. Lucie County Amendments.
The following. building permit applications are exempt from undergoinga full concurrency review: room, additions, .
accessory structures, swimming pools, fences,, walls,.signs,.scree.n rooms and.accessory uses to another non-residential use
WARNING TO -OWNER: Your failure.to Record a Notice of Commencement may result:in paying twicefor: .
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 first1nspection. If:you. intend to.obtain financing; ,consulf,
With lender or an.attornev before commencinR work or recordink vour Notice of Commencement. .
ature of 6Anerl Leask/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF
COUNTY OF
Sworn to (or affirmed). and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
Ph sical Presence or Online -Notarization
Physical Presence or Online. Notarization
this day of (� (o �. , 2020 by
this day of , 2020 by
x9l± 'Psaw��P_
Name of person making statement.
Name: of person making statement.',
Personally Known OR Produced Identification
Personally Known OR Produced Identification .
Type of Identification
Type of Identification
.Produced
Produced .
(Signature of NotaryPub ic- State. of o_rida )
(Signature of Notary Public- State of Florida,)
Commission No.
ission'No... (Seal)
`�aryYPU ELLS
State of Florida NU:
HN. .
_f ... •_
REVIEWS
FRONT
Co Sion # G
5�Ul3(
,Oi
270079 .
xPP4AN.
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
RE
- 20
REVIEW
REVIEW
REVIEW
DATE.
RECEIVED
DATE
COMPLETED
Rev. 5/6/20