HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 2
Date: Q I !S-7rn Permit Number:,J/21-0J��
. I LS r tIJ CUE RECEIVED
._ DEC 15 2020
Building Permit Application Permitting Department
Planning and Development Services St LUCie C°""r,,
Building and Code Regulation Division Commercial Residential yes
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578
PERMIT APPLICATION FOR:DiaryS Martinez Cie OSaba
PROPOSED IMPROVEMENT LOCATION:
Address: S M' ^ (1 all r 4
Property Tax ID#: 3426-500-0984-000-3 Lot No.25
Site Plan Name: Block No. t AND 2
Project Name:
DETAILED DESCRIPTION OF WORK:
Aluminum fill in
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: 156 Sq. Ft. of First Floor:
Cost of Construction: $ 1700 Utilities: —Sewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Diarys Martinez de Osaba Name:Robert Stone
Address:541 SW Feldman AVEPort St Lucie, FL 34953 Company:Stones Aluminum concepts
City: Port st. lucie State:_ Address:1407sw Biltmore st
Zip Code: 34952 Fax: City: P.S.L. State:FL
Phone No.772-281-4553 Zip Code: 34983 Fax:
E-Mail:Gallupemerson@gmail.com Phone No772-626-9711
Fill in fee simple Title Holder on next page( if different E-Mail Stonesaluminum@yahoo.com
from the Owner listed above) State or County License Florida
If value of construction is 2500 or more,a RECORDED Notice of Commencement is required.
If value of HAVC is$7,500 or more,a RECORDED Notice of Commencement is required.
001FON LIE FORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ Not Applicable BONDING COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: 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 and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lender or an attorneybefore commencingwork or recordin our Notice of Commencement.
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.sign ture of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Ho e
STATE OF FLORA / I / STATE OF FLORIDA
COUNTY OF Illit/ttt COUNTY OFS - l u n( -
�Sty6rn to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
cal Pr otarization �C Pby{Ical Presence or Online Notarization
this ay of 2020 by thisL tlayof�CCI�1� 2020 by
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Name of person making statement. Name of person making statement. 1,
Personally Known OR Produced Identification Personally Known OR Produced Identification)l
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