HomeMy WebLinkAboutPermit applicationAll APPLICABLE I�FO MUST BE COMPLETED FOft APPLICATION TCi BE ACCEPTED
Bate; December 3, 2020
} — Permit Number:
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Building Permit Application
Planning and Dev�.lppmenf Services
Building and Code Regulotion Division Commercial
2300 Virginiv Ave4ae, Fore Pierce Ft 34981 Residential X
Phone: f 772) 404553 Fax: (772) 462 -1578
PERMIT
TION FOR:
1 PROPOSED IM R�]1�EMENT LOCATION:
�.
Address: 113 Beagh Avenue Port Saint Lucie, FL 34952
Property Tax ID #: �4195150tl3566f3i}
Site Plan tame
Project Name:
PARK -UNIT 3- BLK 5 (MAP 34122S) (OR 254-2596: 2797-528)
DETAILED ❑ESICRIPTION OF WORK:
Replace shingle
New Electrical
CONSTRUCTI
with 5V galvatum metal roof
-Second Electrical Meter
€N-ORMATION:
Lot No. LOT 8
Block No. S�_
Additional work to be performed under this permit —check all that apply-
-Mechanical _Mechaniical ___. Gas Tank Gas Piping Shutters _ Winclo /pa4rs _
Electric � P€ur�Plumbing� Sprinklers r''s pond
-
Generator oof f �`� Pitch
Total Sq. Ft of Construction. 1624 s'f Sq. Ft. of First Floor: 1824 sf
Cost M-f Canstru�tlorq: $ 12250 On Utilities:
�'NER/LESSI~ :
l 2rne Carol Groin over
Address: 113 Bead Avenue
City: Port Saint Lucie State.
Zip Code: 34952 Fax:
Rhone No- 772-323-9981
E-Marl: Marc a�delgconstruction,corn
Fill in fee simple Title Holder on next gage ( if different
from the Owner tilted above)
Sewer _Septic Building Height: 9'
CONTRACTOR;
Narne:Mark Det€of
Company: DeLo Construction Services
Address-.2189 SE Erwin Road
City: Part Saint Lucie FL
State:
Zip Cone. 34952 Fax:
Phone No 772-323-9981
E-Mail Mark@deloco: ,slr'uction.com
State or County license CCC1332142
If valise of coristruerioxe is �5ED0 a more, a REC6k6ED Notice of Commencement 11 required.
If value of HAVC is VoSOO or more, a RECORDED Notice of Commencement is required.
SUPPLEMENT, AL CONSTRUCTION LIEN LAW INFO IVIft ATION-
Name:
city: — T---
Zip: Phone
FEE SIMPLE TITI E HOLDER:
Name:
Address:
City:
Zip: Phone:
Not Applica
State:
MORTGAGE COMPANY: Name: Not Applicable
Address:
City: State:
Zip: Phone:
Not Applicable BONDING COMIaANY: _`Not Applicable
Na me:
Address:
I City:
_ Zip' Phone:
OWNER/ CONTRt CTDR AFFIW-- IT: ,application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no work of, installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that* granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Herne Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure_ Please consuit with your Nome 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 € will, in al! respects, perform the work
in accordance with tFie approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following buildii permit appf ications are exempt from undergoing a full concurrency review: room add€tions,
accessory structures,i�swirnrning pools, fences, walis, 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
irnprovement� to your property. A Notice of Commencement must foe recorded in the public records of St.
Lucie County end Masted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lender or an attorne before c_arjMr ncirl�_work or recordin our Notice of C�rr�mencement.
r !
Signature of t?wner,' Less c/Contractor as Agent for [?weer Signature of Contractpr r� {
�€. I
STATE OF Ft
COUNTY OF
5wrar {or affirm d) and subscribed before me of
Physical Prese �ce or Online Notarization
this - day of — 2020 by
Name of person ma "ng statement,
Personally Known I � R P"oduceo Identificatin-�
Type of Identificati�—
i. istIULUI,-ULfruitlr ruunc-fit `( 't`lOftda} Cli�lpYINEBf
"sNotary Public -Stale flf
COMmission No. �mmissiar� # GG 3'
• 1.00 �� y CRmmission Ex{
May 23, 2023
REVI EWS
DATE
RECEIVED
DATE
COMPLETED
�cefsse Holder
STATE OF FLORIDA
COUNTY OF
Sworn or affirmedI and subscribed before me of
Physical Presence or Online Notarization
this day of 20217 by I
Name of person making statement.
1'ersana#€y lCi-iown Produced identification
Type of identification
Produced
�g 'ture of Notary l ikic C I N f Y W E B f3
c Notary Public -State of Fic
gtPOWsian # GG 3123
MY Commission ExpirE
may 23, 2023
de
No -
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