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HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: -7 ' Z 3' 2-02_0 Permit Number: cQ, o f 1 ` 7 bl.;z i, R I�T' - .; _ �� 41 `� ° - T ° .0 I � - -7 .. la I 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: 9Q1 1 d - Ntvv hcarb PROPOSED IMPROVEMENT LOCATION: Address: -70 0 B P jyry-\(>Sa i��-.11(�V)0 Property Tax ID #: 13 01 i+D l � � 2 "lLl ' 0 Mb Lot No. Site Plan Name: L Q Block No. 1 Project Name: W OLCVt J01 r rN- A4 14ol)% 1 DETAILED DESCRIPTION OF WORK: 41 / t . New Electrical Meter 1 Second Electrical Meter CONSTRUCTION INFORMATION: Additional work to be performed under this permit- check all that apply: Mechanical _;�P/Iumbing GasTank _Gas Piping �/ Shutters _Windows/Doors Pond `Electric _ Sprinklers _ Generator V Roof Pitch Total Sq. Ft of Construction: a (-75n� R Sq. Ft. of First Floor: Cost of Construction: $ I , S ©Vy Utilities: —Sewer Zeptic Building Height: 1 ` 1t,1 OWNER/LESSEE: CONTRACTOR: Name VNIA VL LLG Name:w a de. 3 urirm�.Z(l Address:3og 1 %v�'n(l' g j, q KC f )r, Company: M 1 City: N( r=i i n State: GA Zip Code: 3 0 0 -11 Fax: Phone No. a 1 9C-Z - U, 2A Address: 3091 CyM2rl'10rS , City: N (;(C. s S State: Zip Code: 300-7 11 Fax: Phone No 3a 1 9, 70 - LoIn1� E-Mail .Cal E-Mail: Fill in fee simple Title Holder on from the Owner listed above) next page ( if different C--Ory h'�N�5' State or County License I 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. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:. . DESIGNER/ENGINEER: — Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: Mulhem&Kula Name: Address: ,jdd Firookslde:Abe Address:, City: Ambler State: PA City: State: Zip: 19002 Phone (91s) aae,-ann, Zip: Phone: FEE SIMPLE TITLE HOLDER: _ 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 Country: 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.wlth`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 6oncurrency 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 attornev before commencine work or record ing, bur Notice of Commencement. Signatur ff essee/Contractor as Agent for Owner ature' of C f actor/License Holder :�wn RID DID S F FLORIDA COUNTY OF COUNTY OF /r- SwoyF� to (or affirmed) and subscribed before me of Sw� to (or affirmed) and subscribed before me of P ysical Presence or Onlin otarization V Phyysi,cal Presence or Online Notarization "d4y this day of 2020 by thisLS) of f 2020 by r�f-'�' 141 Pa M cy_e" rf-)nW_J E_..? Name of person making atement. 11/ Name of person mao tement. Personall Known OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identification Produced, Produced' (Signature of Notary Public- St a of F (Signature of N - y p�� of FWiW Commission No. _ -- 1) Wul0Y PriOYc Commission N C p Sea • ji r Cara Vesm HH 02i010 E*W* g&v&2024 E C mffjnm HH 029010 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION MANGROVE SEA TURTLE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 5/6/20' SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: Name: _ Not Applicable D MORTGAGE COMPANY: _ Not Applicable Name: Address: 2ouAddress: City: State: City: State: Zip: 190�0 a Phone l SU4 I;-00) X 1,53 Zip: Phone: FEE SIMPLE TITLE HOLDER: _ 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 withlenlTe-T or an attorney before commencing work or recording your Notice of Commencement. Signature of Owner/ Lessee/Contractor as Agent for Owner Ignature of Co tractor/License Holder STATE OF FLORIDA STATE OF INDIANA COUNTY OF&0,,jCyJ COUNTY OF HAMILTON Sworn or affirmed) and subscribed before me of Sworn to (or affirmed) and subscribed before me of Physical Presence or Online Notarization V Physical Presence or Online Notarization this day of 2020 by NAA Pfl I this day of 2020 by Name of person maki ng statemen . Name of person making statement. r Personally Known v/OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identification d Produced ig at of Notary P9 ( i ature of Notary Public- State of Indiana ) plic-to �yEY Notary Public State of ubino Fidiia Yvonne M. Senesac Commission Noel) My Comm Ron GG fe49nmi ion No. 0664315 :;:�ubinO ^ Hamilton County, IN +►t�ti Expires 10/20/2022 �r"??:"� 'My Commission Expires ' ,"Februarv19.2023 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev.