HomeMy WebLinkAboutBuilding permit appAll APPU INFO MUST BE COMPLETED FOR APPU ATION TO 6E ACCEPTED
Date-2 2 Permit Number.
S L4� Lug
�{ Bu r Id irlg Perm it Applicat son
Pkmning and Dev6gp reef *.s
2„I&RO and bode R son Corr Commercial Residential
ea Avonks, Fort PwftT FL34992
Phone-17n) 462-3553 Fax= t772) 462-1-5M
PERMIT APPLICATION FOR; - -
=PRQP�5Ea IMPROVEMEAFT LO ATION: J
Property Tax LD W l t I a Ir'i� I L +�j .. Lot Mo.-Lp—tif—
Sitc Flan Name:
Proved -Name:
FIDETA D DESCRI PTION OF V ORK:
New Electl-ical MIetaT Scuur=d Elactical Meter
LCOnTR UCT I ON I N FORMATI0 N
Additional work to be performed under tNs ,pit- check all that apply:
Block No_
_AI e&e ir-al — Gas Tank — f3;?; Piping —Shutters WirKtowVVoors _ Pabnd
a E E#r'iC — Plum bing _sonmers — Generawr Roof Pitch
Fotai 5g. Ft of Construction_ sq_ F*_ of FiTU Fr ;
Coo of Constructio n: $ _ 4�;4 a utilities- Sewer Septic Building Heigh-t=
OWN E R f LESSEE=
Ffarric
Address- r
City: — Crc 5
2;P t•udt= 'I !, Fax-;
E-Mai I=
Fill in fay SiktpleTitLe Holder on n page if different
f om the Owner listed alawe)
Nam e:. ,!
Compart'!=
Address; LM f are .
City_ _ __ A cI e— Shots=
Zip Codes . Fax: Al
Pt one No ' ?. 2' f'- _
E-Mai I_ _i.++,+�[ 1 ✓tip [ -ti ck f t
5tatc or CaurAv License r
If value QI 4onwur#ion is 25W or mares a RECORDED F Mkz! pf Commencernent is mgaired_
If Value ff HAYC it $7,%W or Trore, a RECORDED kmice of CotttmftKL mmt i$ rcgaY".
SUPPLEM ENTAL CONSTRU010N LIE N LAVA I N � 0 R MATI0 N:
NEER, _ Not Applicable
Name:
Add rew.
City.. State:
Zip:. —... — €'hrne
EEE SIMPLE TITLE H OLD ER: _ Not Appl fca ble
Name:
Aid ress-.
aty;_
Zip- Phony:
MORTGAG E COMPANY:
Name:_
Add ress
--. Not ApFpl icab1 a
State;
Phone'
B+ONDI Ni3 COMPANY: Not Appl noble
Namfi:
Addre55=
City{:
Zip; phone;
OWN EF WNTRACTOR AFFI DViT: Application is hemby made to obtain a permit to do the work and instalCation as indicated_
t cortify that reo wzwk *r 1r4t*1I4Wn hard mmmcne-d prior to the issuance of a pormi#.
St_ Lucie County makes no repres�ntatinn 1"t v� granting ii permit will au#horiz LFK- permit Wder to build; the sjbiect structure
which is in conflict with any applicable Horne OwnersAssociatiCM FUIes, byiaws or and cow.rhiF4s that may restrict od prohehit S;3r;h
structure- Pkase consult Grath your Horne Owner& Awz636on ar.d rtvi-ew your ¢(�tl tig -ww which may apply.
Pn C00sidrr0J&n of the gr3atmE OF tN5 rc%gwsted gcmft f do firer-eby ague the a wiFt in aN respects, pedom the work
in aiX0+d.0:14C yAth the approved plans, the Florida Building Codes and St_ Lucie County Am-endrneeets.
'Ttmz following building perm it applications a re ex-empt from unttergoing a full -.ofocairerwy rev: w; eovw piWitkm%
acCF.6�LWryStruCt eN,,'.wirrrmvng p6opK, li noes, walls, signs, screen rooms and acussory uses tU another non-residential use
WAR[ IN-G TO OWNER. Your failurU W Regor4 a N i)t iQe i)f Go-mmencerrhent may result in paying twrm for
i mproveme rats to your pro perk, A, Natf ce of Commenceme nt Tmdst b-e record ed f ri the pu blf r re -cords 61' St_
Lucie Co untyr an4J posted on the jobsite be Forte the first inspectio n_ If you intend to obta i n fi nancf ng, consult
wfth le rid-er e r a n a#torr�ey before Gornrne rwing work of record i ng your Notf ce of Corn r Lh-nce lent_
Agent For Ckwner,
StA-MCFF FtDA h
COUNTY OF C� -F
Sworn ffi (or armedl and subsc-ibed before me of
PhV9zL:;A ArCwnc-C -Pr Gnline Notarization
i thiK fsfa� of _- tw• 2U20 by
I L +
iA , ,'
I mt� of person making statem-ent_
Personally Known i. OR Produced Identification
Type ol ldent;€catro�
(55gna+ture of Npt3F}r P+aNio- 5 0 t C o�
Com}#rlss�t«n Na. CIL �-SU
REVIEWS I FRONT J ZOPIING
CGLFWER fzEVfFW
DATE � ¢ � �'
RECEIVE D
DATE w�a.'
CO MPF FED _ 'i
Holdof
ST#TEj9FTLORIDA
COUNTY OF
swo; to (of altirmlzdp and subscribed before me cd
"P1hVsi{al PresW or C]Mpno N0;,1rzWI ipn
this ' L�day of 2020 by
Nara a of person making statement.
Personally Known '" CAR Produced Identification
f wpr of Ider,tifi tyort
E t bf Slaritfa
PLANS VEGETATION SEA TU RTLIE MA ' {
REVIEW I REVd£Jv RLVILVV RE
a�