HomeMy WebLinkAboutST LUCIE PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date
N� L a L P,SI,L
i�ILA
t= 01 11
Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-15S3 Fax:1772) 462-1578
PERMIT APPLICATION FOR.
Address: 803 Sandburg In, Port St Lucie.FL.34952
Residential x
Property Tax Id #: - 1 -
Site Plan Name,
Project Name: --_-.... _.._._.
DETAILED DESCRIPTION OF WORK:
New Electrical Meter
Second Electrical Meter
CONSTRUCTION INFORMATION:
Lot No._
Block No.
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 _X_ Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 41,
Name NAJAM SYED
Address: 803 Sandburg In
Sq_ Ft. of First Floor:
Utilities. Sewer _ Septic
City: PORT ST LUCIE State: -EL
Zip Code: 34952 Fax: 772-398-4740
Phone No.561-234-7385
E-Mail: najam[�7a dmeofamericainc.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Building Height: zz -_
Name:
Company: Sc I�c�rn+G -
Address: 5 7- 61 Al w Gr t.n01A� s`
City: rA-5 4, state: (Y-
Zip Code: 34f'G Fax:
Phone No
E-Mail
State or County License CCU I C
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:
Name:
Address:
Cite
Zip: Phone
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip. Phone:
Not Applicable
State:
MORTGAGE COMPANY:
Name:_
Address:
City:
Zip:
Phone:
Not Applicable BONDING COMPANY
Name:
Address:
City:
Zip: Phone:
Not Applicable
State:
Not Applicable
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
t or prohibit such
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restric
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 con currency review: room additions,
accessory structures, swimming pools, fences, walis, 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 mu t be recorded in the public records of St.
Lucie County and posted on the jobsite before the first inspecti . If you intend to obtain financing, consu)t
with lender or an attorneybefore commencingwork or reca Notice of Commencement.
4igna� of Owner/ Lessee ontractor as Agent for Owner Sign tore of trac or/License Holder
STATE OF FLORIDA
COUNTY OF
Sworn to (or affirmed) and subscribed before me of
✓ Physical Prese a or Online Notarization
this Id day of 1 2021 by
Name of person making tatement.
Personally Known OR Produced Identification
Type of Identification
Produced
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STATE OF FLORIDA
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Sworn to (or affirmed) and subscribed before me of
✓ Physical Presence or Online Notarization
this day of ?f�-14 2024 by
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Name & person making statement.
Personally Known y' __ OR Produced Identification
Type of identification
Produced
(Signature of Notary
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