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HomeMy WebLinkAboutIrizzary.permitAll APPLICABLf INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: I 2_ 1.H 2z' Permit Number: Building Permit Application Planning and Development Services Building and Code Regulation Division Commercial Residential 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: d Vc,�tsZ_ PROPOSED IMPROVEMENT LOCATION: Address: 14 -2- Ave -B©yi L_6<_, r --3 `1 q Property Tax ID #: 3 L11 19 - 52-L -WHO "'- 1- Lot No. Site Plan Name: Td-�V_ Block No. 13-i Project Name: DETAILED DESCRIPTION OF WORK: 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: Cost of Construction: $ I-7 C)C) Sq. Ft. of First Floor: Utilities: _Sewer _Septic Building Height: OWNERAESSEE: CONTRACTOR: Name XiF % Name- Ida : Address: ��Z-`��'4'i"G�Lt�y' Company: I iii �� 4ll�G t� �+ A City: #F&y- State: F Zip Coder q S Fax: Phone No. I09C Address: IS51 E City�eit ��, I_c't L Zip Code:Fax: Phone No7? 376-7-32-2-2-- Stater E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail AvtN s ice', i neek-4te z�Iarx(oe r , cv,11 State or County License i t-ia1c9. 4'3 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. — sms-n, cEYurivCtll: Not Applicable Name: Address: City: State: Zip: ' Phone FEE SIMPLE TITLE HOLDER: Nat Applicable Name: Address:. City: Zip: Phone: MORTGAGE COMPANY: Not Applicable Name: Address - City: Stale: Zip:Phone: BONDING COMPANY: _Not Applicable Name: Address City: Zip: Phone: OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the wor--------------- k and installation as indicated. i -certify that no work or installation has commenced prior to the issuance of a permit, St. Lucie Counttyy makes no representation that is granting a permit will authorize the permit holder to build the subject structure which is in con€lict 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 th jobsite before the first inspection. If you' i tend to obtain financing, consuls wltly►lendier or an attorney befe commencing work or recc3rr3intzArr,t,�- I n 5ighature of Owner/ Lessee ntractor as Agent for Owner STATE OF FLORIDA j COUNTY OF 5T LC.i Sw- can to (or affirmed) and subscribed before me of V Lgay cal Pr ence or Online Notarization this of 2020 2020 by Name of person making statement. PersonallyKnown V OR Produced Identification Type of ldentification of Notary Commission No REVIEWS DATE RECEIVED DATE COMPLETED ay. 6tAmr toLE Notar},� t�'' - State of Florida Cadrte l Jf GG 961089 MY Comm. Expires Mar 14, 2024 STATE OF FLORIDA COUNTYOF S i ca Sworn to (or affirmed) and subscribed before me of P `` Ph sical Presence or Online Notarization this day of Ai1bt r' 2020 by Name of person making statement. Personally Known V--" OR Produced Identification Type of Identification Prodpced ML Signature of Notary Public state of eiRw€ cot `a Notary Public _ Stati Commission No. :*� . j Commissron ff GG MY Cotma- Expires to Hondpit ftaugh National t FRONT -- ZONING SUPERVISOR PLANS V COUNTER EGETATION SEA TURTLE MANGROVE REVIEW REVIEW REVIEW REVIEW REVIEW I REVIEW 2024