HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Nur
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Planning and Development Services Building Permit Applicat
Building and Code Reguialion ONision Commercial p
2-900 Virginia Avenue, fort Pierce FL 349&2
Phone; (772) 462-1553 Fax:(772) 462AS78
PERMIT App LIGATION FOR.AQUA pIMENS IONS PLUMBI
PRcaPos€rrtMwou gnE�NTtO ir(ON.
Address: 9504 SILVER SANDS LANE
Property Tax ID #: 2310-502-00040004
Site Plan Name:
Project Name: 9504 SILVER SANDS LANE
DETAILED DESCRIPTIf OF WORK,
REROUTE WATER LINE ON EXISTING PROPERTY 9500 SILVER SANDS LANE AND RELOC/
New Electrical Meter Second Electrical Meter
Additional work to be performed under this permit— check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters _(
_Elearic ,Plumbing _Sprinklers _Generator _
Total Sq. Ft of Construction:
Sq. Ft. of First Floor,
Cost of Construction:$ 250.00 Utilities: _Sewer _Septic
mabovelm
- I: WIN IRACTO
NamVIVIANA DENNETT BOB LUDI
Name:Addr SILVER SANDS LANE AAUP
Company:_City;E State: � Address: 1651 SIZip C5 Fax. City,. PORT ST LPhonG I 't 01 H G �— Zip Code: 34986E-MaAL f0 hefimatl. CpM phone No 772-3qFill Inle Title Holderon nextpage(Ifdifferent E-Mail ADPSQ.AIfrom er listed above) State or County L
If value of HAVC k $J,500 or more aoRECORDED Notice
X
SERVICES
Lot No.2
Block No.
IT TO 9504 SILVER SANDS LANE
_ Pond
Pitch
Building Height:
Fax: T72-343.7418
SUPD CONS7NEINFORMATION:
ESPLEMENTAL
Name:ESIGER/ENGINEER: MORTGAGECOMPq
y,
Address.City:
XName:Name: NotApplicable
Address:CityState:ZiP:
PhoneZip: Photo:FEE5IMPLFTIiLEHOLDERPPe
Name: BONDINGCOMPAIN
: X Not Applicable
Address. Name:
City: Address:
Zip: Phone: C"y"
Zip:
Pho
e
OWNER/ CONTRACTOR AFFIOVIT: Application is hereby made to obtain a permit to
I certify that no work or installation has commenced prior to the issuance
I work and installation as indicated.
of a permit.
St. Lucie Counttyy makes no representation that is granting a permit will authorize the permit
which isin co Wict with any applicable Home Owners Assoplation
der to build the subjea
rules, bylaws or and coven
structure. Please consult with your Home Owners Association and review your deed for
structure
n that may, restrict or prohibit such
any
In consideration of the granting of this requested permit I do hereby agree that I will, in all r
in accordance with the approved plans, the Florida Building Codes and St Lucie County Amer
rictions which may apply.
s ects, perform the work
rents.
The following building Permit applications are exempt from undergoing a full concurrenry re
accessory structures; swimming Pools, fences, walls, signs, screen
-H w: room additions,
rooms and accessory uses
WARNING TO OWNER: Your failure to Record
another non-residential use
iLucie mprovements to your property. A Notice of Commencement must be rec
a Notice of Commencement may rIs
Countynd on there
R in paying twice for
ded in the public records of St.
with lender ran alto attorney befoosted
colmmPnore the lest Inspection. If you i
t end to obtain financing, consult
f 1A r .yci - i11/
Si ature of Owner/ lessee/Contractor as Agent for Owner Signature Pf nor ttor/ F nse Holueer
ATE OF FLORID! STATE OF FLORIDA COUNTY OF_ St v �+— COUNTY OF
2Swrpn to for affirmed) and subscribed before me of
Ph lcal Presence or Online Notarization xworn to (or affirmed) an bscribed before me of
this 'S day of "Ji +a,..y,_.. 2020 b Physical Presence or Online Notarization
Y this s day of novareeea 2020 by
Personally Known OR Produced Identification Personally Known x R Prod .a roe . Type of lden' ca ry -- _
Produced i� 1i' QS3 oL.�Ga 5b pS7O pmduceld entifiaBon I.y_ RHONDA LAFF;
ecmtsr,:rore r. cc
(Signature of�ptaylpublio- State ypdNol
I'�16L prr;: EXPIRES is.
�^ 'tI, S78te IS
of Notary li - of Florida I
:ommission_No. CsC-cU "lov (Seal)
Issipn�08/14=4 Commission No. S )
ora Commission No. HH 42213 i 1
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW )ATE REVIEW
IAFFERTY
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