HomeMy WebLinkAboutGallo Permit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Efate: Permit Number:
CC) Lam-
a M P D t" wilding Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34952
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
21
Address: bu-)i
Property Tax ID #: L)1c�� ` C 5 -�i?ti Lot No. Is
Site Plan Name: Block No. Y,_
Project Name: ".110 v.
DETAILED DESCRIPTION OF WORK:
1.-YA%t C1 xA�^s !!i. v�h f� :.7 L)11 -Z—. Den'�s�aerl Y�P.].,l Cri i.
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 _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ /o/ I Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name (hullo
Name: �� ► {,r„
Company:
I rv,nr u
Address.
City: 'iz' ; � • - State., fL
Zip Code: '34 t '� Fax:
Zip
Phone No. Y X4 4 -
E -Mail:
)
Address: Loo /of --
City:
Zip Code: 'yilS
Phone No��3L1
E -Mail Seri/)L_ J�,�
State: F4 -
Fax:
_cl I j `$ --
rur f.'.u�a, ��s,a•, ��^,
Fill in fee simple Title Bolder on next page ( if different
from the Owner listed above)
State or County Licenser C Lit 1 a I )L t'� 1
if value of construction is 2500 or more, a RECORDED Notice of Commencement is requires.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Dame:
Not Applicable
MORTGAGE COMPANY: Not Applicable
Name:
Address:
City: State:
Zip: Phone:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER:
Name:
' Not Applicable
BONDING COMPANY: Not Applicable
Name:
Address:
Address:
City:
4� Physical Presence or Online Notarization
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 apd posted _q the jobsite before the first inspection. If y6u intend to Iain financing, consult
with lender oran attorarav'before commencing work or recording ur Notice ommencement.
Rev. 5/6/21D
ature of Owner/ Lessee/Contractor as Agent for owner
Sffnature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF /446,YWA
COUNTY OF� /i L%r1 Yt
Sworn to (or affirmed) and subscribed before me of
Sayorn to (or affirmed) and subscribed before me of
Psical Presence or Online Notarization
4—irdayy/of
4� Physical Presence or Online Notarization
0C,1rLAay 2020 by
this 16of d1_.1 -c6 12020 by
{ {'day
Name of person making statement.
Name of person making statement.
Personally Known _�— OR Produced identification
Personally Known L OR Produced identification
Type of Identification
Type of Identification
Produced
Produced
Public- State of FloridaRA�CO
(SifhLafture offs
(sig t re of Noi:ary Public- State of Florida )
,otary
11' G328179
Commission No. Cvmmis�
' ,1tyA4.ERA�CQ
Commission NO. Seal "' GG 328 77
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEAM *ttE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 5/6/21D
Scope of work- 6000 Petticoat PL Ft. Pierce
Replace existing kitchen cabinets with new, cut down wall at island to 34 %, install new drywall as
needed, remove soffit and closet at fridge area, replace vinyl flooring, move outlets and switches in wall
that is being cut down in height, shorten existing electric for dishwasher and wiring for existing hood
location, Replace water shut off valves, install sink, faucet, dishwasher and disposal. Plumbing for
existing dishwasher.