HomeMy WebLinkAboutSigned_Permit Application_Lot 20rill APPLICABLE INFO MUST SE €OMPLETED FOR APPLICATION TO 6E ACCEPT€L1
Date;
Permit Number -
i
Branding Permit Application
p1 mm gandDeve;i rnearSevvkes
3ui4diFJ find Cade L+egv+vtion AifisKm
23M Wginpa Avetwe, Fart Pierce FL 34982
Phme- [} ] 462.1553 Fax, (7721462-1578 commercial
PERMIT Ty".New Single Family Residence
R8sidential
PROPOSED IMPROVEMENT LOCATION.
Address: L: ' 20. n Estates DFive. FW Pierce, 34949 -
Property Tax ID #; 1 '-5QQ40 -OD0-6 Lot No -
Site Plan Name: AvaI(In Reach P.1J.b. Block No- 2
Protect Ham: Avabn Beach -Lot 24 -
DETAILED DESCRIPTION OFWORK-
New sirige fami;y reseaenc3e. Aaa� 2 Car garage. l -
CONSTRUCTION INFORMATION'
Additional work to he per(Drmed under this permit -check all. that appPy_
mKhanical —Gas Tank—Ga5P[pitlg _Shutters indows/Doom
EleC iC plumbing ]! Sprinklers _Generator IeR,,f Pitch
Total Sq. Ft of Construction: 3.401
COSt 0 COnSt1rI+C DM $ 42-7. 109.00
OWNER/LESSEE:
Sq- Ft of First Floor: 1.787
Utdities; Se�'er —Septic 9ullding#ieigl�#- 00a
blame OCean ESlateS'.:' :e. LCC
Address: 9508 Windy Midge Drive --
(:0, WifwlerrneFe ---- State; AL
Z,p Code; 34786 {ax:
Phone No. 772.546.4197
E-Mail_ matt co-P net
Fill in fee simple Title Holder on next page { if different
from the Owner listed above)
CONTRACTOR.
Name Thomasl�hili�ler
Company: TRM C.OnS kOn Masi�W.merit :nc
Address_ 1512 SE 1liila$a O•een QrNe Tr
co_ POO St Cie State= FL
Zip Code: 34952 FRx. 772.237.3C61
Phone No 772-946-727
E,Mai1 PaL110UM0040.COM --
State OF County Ucewe CGCO24829
If Malue of cone'tructi0+1 i5 $250* or more..] REipRDED M"Qe Df Commencement is require&
ff wa2ue of HVAC is $7,300 Or more, a R€CQRDED Native of Commencement is required,
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION -
Not
flame: h.-- Afore aJ
AddreSS- 39M E dpwarer 5uie wl
City. ommt State: i i.
zip. Kao+ Phone, an7"Wa
FEE SIMPLE TffLF HOLDER:
Name; _
Address.
City_
Zip; phone: —
Not Applicable
MORTGAGE COMPANY= _ Not Applicable
Name.
Address.__ — -
City_ — Mate:
Zlp: Phone-,
BONDING COMPANY: Not Applicable
Narnt: _
Address: _
Zip: Phone -
OWNER/ COI+ MCTOR AFFFDVIT: Appitcaup n is hereby made to abuirr a permit to do tht wori gind installation as indicated.
I certify that no work or ;ns;aliation has Commenced pTkw to the issuance of a Permit
51. Lucre Cowityr makes no representation that i€graming a permit will autharue the pemn t holler to build the subject struct.,ri�
whirb is in Conflict with a rry applrcabl a Home Owners Aswcotion rules, bylaws or and covenants L" nmry murict Cr proNNr such
structu rr. Please ca rrsu It with yacrr Hpmw Owners Assodataon and review your deed for arry restrttYiuns whkh may apphl-
I rr conside ration of the gra r+tina Of Ehis requested pet rrrit, I drs i Wreliyr agree that 4 wwll, in aA FeSp'eEts, per#Crrm t he work
al accordance with Vie approved plans, the, Flwidd Suitding Odes and 5t. t-ucO County Amendrnents-
The foliu*ng building permit appkatioru are amernM from undergoing a full concurrency review: room additions,
aCtessarystrWure5: sw;m n:ng poal%fenCes. wa'If m, os. scr&en raornsand aecp55ory use s?o ano.ner wnn-re5iden!:31 L-F
""A , TO OWNER: YOUR FAJIL W TO REC04M A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PATJNG
TW*CE FOR rMPROVE MENTS TO T4DUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDSO AND
POSTED CM THE J[}9 5FFE BEFORE THE fIRST IMSPECTM IF YOU INTEW TO OBTAJN FINANCME, CONStW7
WWTH YOUR LENDER AN ATTORNEY BEFORE RFCPQ IC oft NOTICE OF COMMENCEMENT.."
$i r f Ssee f[o ntrat#or as Agent for Owner :STAT
Bt a of CorliractorJ kmi se Ho kfer
STATE F FLORIDA OF FLORIDA
COUNTY OF CSC a C.P COUNTY OF
The far ling:-is•rurnentwasacknawledgedb0bmemie The for" instnamentwasacknowiedgrdbefarrsrre
this ati of A+L _ 20 by this day of , 20 by
1f.a _
Name of pa•rspn mtiak.ng Statefnent tiar�reflf Rersgn mak,r5g statement.
Per5ana�y Known �� OR Produ4:e0 Iijentif)CatiOn
Type of kterrtif.cati.pn
Produced
{SignatureofNola
Pow
tILCMP+ONE DEMARCO
Pul)Nc-State ut Florr
r Mower id
Commission No.
Carnmi yr GG 908503
MY Go "-rn�� ii" ExPrres
Jhuounr 29. 2023
REVIEWS I FRONT IONIF1G
COUNTEit REMEW
BATE
REC I)
DATE
COMPLETED
Per5pnai4yKnpwn Oft ?roducedideritifieation
Type of IdeMifkatign
Produced, �,
(Signature of Notary Pubic- state of Fswida )
iCGM nffsion NO- � Seal l
SUPERVISOR I PLANS
F"EW REVIEW I VERE EW REVEWLE MANGROVE REVIEW