HomeMy WebLinkAboutApplicationAlf APPLICABLE INFO Mps-rbE COMPLETED FOR APRUCATION TO BE ACCEPTED
Date: _I_1_T,2 d Permit Number_. �1,6114)1`j t
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Bui[I ttigrPermit APplIca ti0ty
Plan"nrngandi evelopment5enaces _ i 1
6mldingandC6deRegularronOnnsron ;CO(llrTi&cW - _ . _ Residential y' NJ®Y
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2300:V Aginio Avenue Fort Pierce FL 34932
Phone: -(T72)44627'1§53 Fax: (772):462-1578 ,
PERlVff APPL-ICA7 ONUFOR:
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PROPOSED IMPROVEMENT LO � 10
Address: 322 SUranquilla AVenue Porf St Lucie, ,FL 34983
P.ropeityTaz ID ti` 3419 530-0173-000-6 ' Lot No 22
iSite Plan Name: Block No -38-
P.rolect Name . Jfioana Daza
Q EPA I III E DI DESCRIPTION DF ORK:
r
New Electrical Meter Second ElectricaD Meter
NSTRUCPION INFORMATION:
AdditionaLworkt0. _ rformediinderthispermit-cRdckallthat'opply
_Mechanicaf _Gas Tank _Gas:Piping V°Shutters Windows/Doors _,Pond
_Eleilricj Plumbing—,5'prinkiees Generator —,Roof., Pitch
--.w _..
Total Sq. Ft of Construction: _, Sq. Ft.of First Floor:
costof;Constructfon.$ «'1.0-,i3 Utilities: —Sewer—'Sept_ic Building Height: f
OW N ER/LESSEE:
CONTRAC POR:
I
�NameJh6aria Daaza ' -_-� . —J _ J J'��
Name-SdE Berman J " — + ..•_ _ y _—
Address 32ZSETranquillaAvenue,
company:FloMa iindoW-&Door -
City.., Porf St. Lucie _ State:-_
, Address.; i925 N, Dixie -Highway
', city: Lake Wcrfh °State: Fl-
Zip' Code;' MBS' Fax:. ;
Plione No• 5617584-1000 "
Zip Code ,23 I 46Q Fax?
E -Mail ,&ana105B6@ad..00mphone
No5613404300
Fill in feesimple ,Title Holder on next page (if,differeni
E -Mail howard @ tlondawindowanddcor:com�,
State or County License CGC1509450
from the Owner listed. above)
if value of construction Is 2500 or more, a RECORDED Notice- of 6mmencemeot is9equired.` '
If value: of HAVC is' 7,500 or more, a RECORDED Notice of Commencement is required.
•V
S PPLEMEN GONSTiftg ON LIEN
tN
OR TON.
Signature -of -Contractor Ucense.Holder-_` `
"DFSIGNER/ENGINEER
_ Not Applicablea
COUNTYOF �' (iLl2i_ . _
MORTGAGE CON1BEi1VY;
Not Applicable
Name::
hysical Presence or Online Notarization
'.this'..' dayofOM�'-2020:by
Physlcal'presenc .oj. Online Notarizat on
"this lday of•'OC.CCI
Name:
Q_
-
Address." " `
Swd del n
Name of person makingstatement. " .
Address; - -
Clty -- . _ - ..
` =State; -.. °
7personallyK ' " Produced .ldent_ifcati.
on. own -----_
city.,:
- State.
Phone_ _
_ _ _._
-Zip, _. .. Phone.
.
I (51gnature of Notary Public 5e o_721mM
.StateoiFf
{Signa ureYofJV otary Public State ofFI' k! ) ,
-
CommissionNo? a� Comm
Commission 0a �r
y1, Com'mfc�ton.Na
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M fiMsion No "°' 1i41`� '
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FEESIMPLE TITLE. HUMS
N_ ot'Applicable
BONDINGCOIVIPANYc
Tlof'Applicatile -�
Name:__
Name:
Address:' " �' - ' -- '
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ZONING
SUPERVISOR
PLANS
VEGETA
SEA TURTLE
MANGROVE
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,Zip:. _ . __ Phone.--
-- - - -
-
REVIEW
REVIEW,
DATE
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OWNER% CONTRACTOR?'AFFID,VIT; Apphcation.is hereby rnade to obtalnrl'pernlitto do thework and instaltati_ort as.i-ndlcated. '
'I certify thatno'work or installation has corrimencgd prior, to the.issuance of'a permit,
St Lucie Counttyy. makes no representationthat is granting -4 permit will authorizethe ermithoider to (iuii'd the subject structure
which ism conflict with any applicable Home Owners Association rules, bylaws or anircovenants that may restrict.orprohibit such
,
strucwre Pease consult math your Home Owners'Associaoogand review.yourdeed for any restrictions which may apply:
Inconsideration of the granting of this requested permit,A do hereby agree that f'will, in all respects, perform the work.
in;accardance urithae approved plans; the Florida Building Codes and'.SG Lucie County Amendments.
The following ituild'ing permft;applications are exempt from undergoing a full concurrency review: room additions,
accessorystructures, svnmming,pools,Lfences ,walls, signs, screen rooms and accessory uses to another non-reside'rivaI use
WARNING"TO.OWNER: Your failure fo Record a Notice of CommlencempilCmay resuli in paying twice¢or
Improvement' to your -property. A Noticerof Commencement _must tie recorded in the public records ofSt.
Luc
ie' Co`untyand posted on the jobsite before the first inspection, if you intend to obtarn finencmg; consult
with° lender or an attorney before comm'encirie work`or'recordine-vnur Norira rif rnmmprirPmant_
- - - _
1
- -
'Signature.otOwner/Lessee/Contractor as Agent for Owner
Signature -of -Contractor Ucense.Holder-_` `
STATE OF FLO_ftiD
:STATE OF FLORIDA
COUNTYOF �' (iLl2i_ . _
COUNTY:OFea-`�
Sworn to (or affirmed) and subscribed before me of '
Sworn to (c� affirrin and subscribed before me.of
hysical Presence or Online Notarization
'.this'..' dayofOM�'-2020:by
Physlcal'presenc .oj. Online Notarizat on
"this lday of•'OC.CCI
r.2020by
jEmna Dales,
Swd del n
Name of person makingstatement. " .
.Name of peyson'making statement.
,
' Personally Known OR ProducedidenGfication.
7personallyK ' " Produced .ldent_ifcati.
on. own -----_
.Type-9f ldenufi a 'ori
Type of ldentificat-on
Produced` D ' r
Pr ' ed
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I (51gnature of Notary Public 5e o_721mM
.StateoiFf
{Signa ureYofJV otary Public State ofFI' k! ) ,
-
CommissionNo? a� Comm
Commission 0a �r
y1, Com'mfc�ton.Na
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M fiMsion No "°' 1i41`� '
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETA
SEA TURTLE
MANGROVE
COUNTER
REVIEW,
R_EVIE-W
REVIEW
:REVIEW
REVIEW
REVIEW,
DATE
RECEIVED,
,DATE--
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'COMPLETED
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