HomeMy WebLinkAboutBuilding permit ApplicationAll APPLICABLE INPo-muST BE COMPLETED -FOR APPLICATION TO BE
Bate:.
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Permit Number: Old 0 • �3
Buiiding_permit Application
Planning and•DevelopmentServices
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (712) 462- 578
PERMITAPPLICATFON FOR: -'
PRO 06SE0-1MPROVEMENT LOCATION:
Address:
0
Property TaxlDr#1::9"lr-0C)S -OOO Lot Noi, A
Site Plan Name: Block No
Project Name: 4,7
DETAILED,DESCR(PTION=OF WORK: -
,V9.
New Electrical Meter Second Electrical Meter
( CONSTRUCTION INFORMATION:
Additional work to be performed tinder this permit- check all that appiy:
_Mechanical _Gas7ank _Gas Piping _Shutters Windows/Doors Pond
_ Electric — Plumbing —Sprinklers _ Generator � Roof Pitch-
Total-Sq. Ft of Construction: - Sq4 Ft. of ArstTloor:
Cost of Construction: $=-Z,2, go6. cro Utilities: _Sewer _Septic Building Height:
OWNER/(,ESSEE:
CONTRACTOR:
_
Name 3'o•+ata.%' R ert.et+ret
.
Name:
Address:-/� Gy ��f�r �t,u-2.%
12ixzZ',`'icGi
Company: VV
City: I State:
i4ddress:��8-rof f�.e
Zip Code:,yga a Fax:
City 2, ,re�I State:
Phone No..SloI o?oi
Zip Code;,g 3� 2ju _ Fax.
1-Mail:
Phone No 7 d a�0/ - oZ6 g 7
Fill in fee imple'ritie Holderon next page( if different
E-Mail h b Lo � Ct • �� .
from -the Owner listed above)
State or County License
- ,..-•-� ..v.��. a..av�c �a c�uu �r more, R-KtWXLjtL) i otice of commencement is required.
0 value. of HAVCis-$7,500 or more, a `IiECQ12DED Notice of Commencement is required.
SUPPLEM . ENTAL CONST-R
LICTION LIEN LAW INFORmAnON:
FEE TITLE SIMPLE
. I TI HOLDER- XNot Applicable
Name:
Address:..
-
City:.
Zip: Phone:
MORTGAGE COMPANY.: NotApplicab . le
Address'!
City: �State:
?1p: :Phone-.
11ONDING COMPANY:
Name:,
Address:
Zip: . Phone:
sv'Pnl *-%Jim 1ARL. I UM AFIFIPVIT.-: Application is hereby made to obtain, apermlt to dothe
certify that no work or installation h I as commenced prior to the issuance of a permit.workandInstallation as indicated.
St LudeCount mmakes no renreseritatinn er�A+t__ - _,,ii —.11- -- -1
w"-cL4&wif!uy�=Aiii.uwijivv"iv-n.FUilvapply.
In consideration of the granting
Of this requested permit, [do hereby agree that I will, In all respetts,, perform the work
inaccordmeewith the a d
PPTDVe plans, the Florida Building Codes and St Lucie County -Amendments.
The following,bUilding permit applications .are
exempt from undergoing a full toncurrency reViewroo.m additions,
accessory:structtires, swimming Pools, Nriceso walls,,signssaieen rooms and accessory''
tises,to another nonzireeidential use
TO OWNER: Your failure to Record a Notice of commencement may result in, paying twice fo
r
improvements _to YoUr PrOiPeft A Notice of Coynmencerneint must be recorded in the _66blic records of St.
1.11cid Comity and posted the jobtite- before the first inspection. If you -intend to: obtain finarwin
with liender, ��e I . g, consult
an attorney before commencing work or recording'VC) imintromant
ur Notiep:nf rrirhrft
STATE OF FLORID
COUNT-YOF,
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t' ( ffir d), and subscribed befor6me of
rFF , NY 11cill Pres ce or _ Online Notarization
hosZ
IQJ by
Name of Perstin, rhaldrig statement.
Personally Known OR Ptoduced. Identification
TYPe of Identification
Produce
V119"'i"Ture or Notary Public�*.S e " 1`
0 A�
1oWv';11 -
, Notary Public State of Florid;
Commission No. ,"i"MarrittWoodard -
My Commission HH 039826
Expires 09/0712024
STATE OF FLO L
COUNTY00
S to foraffirmed) and I subscribed -before me of
Ph skal-presqn ce orOnlineNotarization
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h5ph"WIlocay --j�WaA6d- — by
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Name of person maklng-ttatement
Personally Known &2 OR Produced Identification
Type of identiflcatio,11
of
No.
REVIEWS FRONT ZONING fSL;pERVISOg PLANS I VEGETATION
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COUNTER R L6E
VIEW
'Wrc AEVIEWI REVIEW REVIEW
"$Vueblio State of Florid
M Merritt
Woodard
My Commilivon HH 039626
Expire$ 09/07/2024
SEA TURTLE I 'MANGROVE
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