HomeMy WebLinkAboutBuilding Permit Application- revisedi,
All APPLICABLE INFO MUST :BECOMPLET-E TOR APPLICATION TO, BEACCEPTED
Date; Permit Number:
MW REC IVED
Building Petmit Application,
Pl2rming qnd Development Services 20)
020
Buildinq and Code Regulation Division Commercial.,-...- Residential X
iitting
23,09 Virginto Avghue, Fort Pierce FL 34 982
.,,Phone, (772)., 4�62-15,53 Fax: (772) 462-1578
VEKIVI IT APPLICATION FOR: weilsse Quin- erio-i.,
Address $�O
Pro
Ui E
Site Plan Name
Project Name:,
New; Electrical Meter,. Second Electrical Meter-
Block No.
Additional- work to performed under this Deeftlit- check al[that apply:---
—Mechanical Gas Tank Ga.'s Piping Shutters Windows/Doors 'Pond
Electric Plumbing Sprinklers Generator Roof Pitch
Total Sq.Ft of Construction:
Sq. Ft. of First Floor;
Cost of Construction: $..30,450 00 Utilities: Sewer Septic Buildin9 i#eight:,
Name': %--d' I IV' vt I %AW15
Coftanv: Momdntum
City:-,rState: FL 1, 11 Address- 6UU1 Hial
Zip Code:,.-:Y494,--- fl`Fax,--
32 1724-7 p Code: 3 Phone No 3321
M24 E Mail:- s ar.com Phone No
Fill in fee simple —Title -Holder on n-ex-rpai e(E-Mail q0 if diff6reht
from the Owner listed above) 'State or County Lice
If value of construction is 2900 drffidr-e-,-ii-RECdRD'E6No
tice &'Commencement is required..
If value of HAVC 1-s.$7;500 or rfibre,.a RECORDED Notice of Commencement is required;
# 3 Tamarac, FL 33321
-state: K
Fax:
Utrisolar.com
ivot Hppimaoie MORTGAGE COMPANY: -- -- 'Not Applicable '
I Name
Address 61WINDLING WOOD DR -APT 8B " -i Address':,,,
City:.Sayreville - State. - - _
Zip 68872T �P�ione'551-589-5068 City:
- -- — ---St
ta
Phone:..
FEE SIMPLE TITLE HOLDER: X NofApplicable ;,'BONDINGICOIIAPANY: Not -Applicable
G Name--- ., Name: t
,Address: Address _ I
r City.:__ city _ I ,
-_ _
IZtp _ 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; or4ristallation has commenced prior to the issuance oft permit.
St. Lucie County.. makes no representation that is granting a pp_errnit will authorize the. permit holder to build the subject structure '
„ which is in conflict.wlth any,applicable Home Owners,Association rules, bylaws or -and covenants that:may.restrict or prohibitsuch, w-
structure. e co Pleasnsult-wlth, yourHdme Owners Asspciationa.nd_teview.your_deed,for any -restrictions which may. .apply:_ -- ... -
In consideratiomof the grantingof 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; wails, 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 I
1ith4e rider
4or,an. attornev before commencing work or recordin `our Notice of Commencement.._
I,
STATE OF FLORIDA ! STATE OF FLORIDA
COUNTY OF St Lucie COUNTY -'OF St Lucie
Sworn to (or affirmed) and subscribed before me of Sworn to (or affirmed) and subscribed before me of
X Physical Presence or, Online Notarization I X Physical Presence or . _ ....Online
_ ;— Nota-
rization
this18th day -off November - 2020-bye this 18th dayofNoienber •- 2020 . - -
by
Personally Known OR Produced Identification X
Personally Known X ORiProduced Identification ,
Type of Identification
Type of Identification
;Prod DL
----
9
-
(Signature of=Notary Public- S
_ -
(Sigriatureof}NotaryPublic
% FAI�CESS
I = CHRISTINA
° Y`� -peDWMI SIGN #GG 5179
?Commission No. GG975179 ,
No.._GG975179.
f � RTNA
r °. �Y ON#GG9 5179'''
__..
,
EXPIRES APR 01 2024 ' __.....
'Commission
APR a1 2(}24
,. 9eedad Ihmuch 1st 91ata Insuresc�,
ZONING
�£ REVIEWS II COUNTER I REVIEW
FRO NT
i:DATE
IIC
OMI
!i , e _,:j
SUPERVISOR "I PLANS I VEGETATION ! 'SEA TURTLE I MANGROVE
REVIEW REVIW REVIEW j f REVIEW., REVIEW
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