HomeMy WebLinkAboutWE BROS Building ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO SE ACCEPTED
Date:-1 �_1_4 1 Permit Number:
c Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial V1 Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: i �� 5r ✓// j i��/' l��e 2 != r�
Property Tax ID #: Lot No. (Z,
Site Plan Name: 'ra C_ • Block No.
ProjectName: t r,- m,, hlUrn �eanTr�llt:e
I DETAILED DESCRIPTION OF WORK:
� +A ` a 4 w :�r S n - � W f � L,.f� C.Ut '✓Q LC i f/�-Q� ��i'11
New Electrical Meter Second Electrical Meter
I CONSTRUCTION INFORMATION: I
Additional work to be performed under this permit— check all that apply:
Mechanical
Electric
Gas Tank
Plumbing
Total Sq. Ft of Construction: T•
Cost of Construction:
Gas Piping
Sprinklers
_ Shutters — Windows/Doors Pond
Generator Roof Pitch
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name C"' sch LDC�� � ,sc.
Name:
Address: Sdt" Kte"-1 r I
Company:_ LK. 64,�VledriL �or157vccct<C �n hL
City: 10 s State: t' _
Zip Code: 3?Lt13, _ Fax:6��1gL(Li3`(5
Phone No. 1 [c`33 Y,(0 J TfZ ZA
Address: S 3 e S cJ C: �1 �Te� fj ✓+?
City: PrN S+ Lue1 _State:i %Y
Zip Code: Y"3 Fax: .Z 73-Z3//
Phone No 72 �61- 36 U
E-Mail: L31 cvt l y bI' , (r Lo
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Maii_f p - Chi (• �p�
State or County License C &C-
fl Y0 WV. VI UU11airuc.L1u11 is —vu or more, a Ktt uKutu Notice of LOmmencement 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: _1,,�Not Applicable
MORTGAGE COMPANY: 3/ Not Applicable
Name:
Name: T
Address:
Address:
City: State.
City: State:
Zip: Phone
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
with I nder or an attorney before commencing work or recording our Notice of Commencement.
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SignatureO[POVel Lessee/Contractor as Agent for Owner
Signature of Contractor/ tense Holder
STATE OF FLDA
COUNTY OF pR x- '&Acyl
STATE OF FLORIDA
COUNTY OF ip«Lrn 4'L h
Sworn to (or affirmed) and subscribed before me of
Physical Presence Online
Sworn to (or affirmed) and subscribed before me of
or Notarization
_,X Physical Presence or Online Notarization
this JO day of 12024 by
this I Q day of rV 202t by
Name of person making statement.
Name of person making st ement.
Personally Known )l( OR Produced Identification
Personally Known -.._Y, OR Produced Identification
Type of entification
Type of Identification
Prod
Producgd-�a 4 en,/
Clv
J A- W/ 1( 6'��
C✓ el
nature of N
my
THA MAE CAMERON
` Pubfic-�
(Si ature'of C,4� ` IR �gfll �� ,jvIERON.
•' Y°
` .Not ry Pudic -State of Florida
Commission No.
;Notary f Florida
fission �3p5569
Commission N �. •� Commission 3 569
res
OmmiMarch 128o2o2xpires
t�orsion )h'
,',;;,�r`� Marah 26, 2023
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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