HomeMy WebLinkAboutRAHMAN-PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: a �-� Permit Number:
Building Permit Application,
Planning and Development Services
80ding and Code•Regulation Division
Z300 GtryInta Avenue, Fort Pierce FL 34982
Phone: (7721462.1553 Fax: (772) 462-1578 Commercial Residential
PERMIT TYPE; V)1)
q. Address:L1..� S Y 1V iSJr L.P
. -- �--� � ' j ---'� �-�
Property Tax ID ff: : I o O .-- 21231- DIh U — 5 Lot No. r S
Site Plan Name: ` LtJ� &,I%\ Block No.3r'
Project Name:
ry i �,' Y i'Y - _. 1,r r•„�Y` �� '
1 Its
Additional work to be performed under this permit check all that. apply:
_Mechanical . �sTank ✓4aspiping _Shutters —Windows/Doors
_ Electric _ Plumbing _ Sprinklers __.L Generator _ hoof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor.
'Cost of Construction: $ I Utilities: —Sewer —Septic Building Height -
I'll
-yy' �
Y x� 61.i�e [:°�m�
i
dame - - v� V� l'101 i�� Name.Larry Licastri
Address:L�1'1 �tVIv<_ Company:Amer*as t
CityStater Address;3301.Oleander Avenue
Zip Code: Fax: City: Fort Pierce State:FL,
Phone No. � " C1 ' � � � - Zip Code: 34982 Fax; 7724654M8
E-Mali: Phone N0772-633-0740 r
Fill In fee simple Title Holder on next page ( if different E-MailArriedGas-72B2®amed!gas.com T from the Owner listed above) State or County ticense'02707128579 k
If value of corr9tructinn is WOO or more, a RECGRDW NOMM of Commencement is required.
if value of NVAG Is $7,500 or more, a RECORDED Notice of Commencement Is required.
If value of corr9tructinn is WOO or more, a RECGRDW NOMM of Commencement is required.
if value of NVAG Is $7,500 or more, a RECORDED Notice of Commencement Is required.
ea+
i...
=�yczq.F - S . aa,+
DESIGNE ENGINEER: Not Applicable
_ 9 -,
MOIRTGAGECOMPANY: NotAppiicable
Name:
Name:
Address:
Address:
City: State:
City: .. .State;
Zip: Phone
Zip: Phone:
IMPLE; TITLE HOLDER: _NotApplicabie
BONDING COMPANY: .."_.Nat Applicable
e: _ _
F
Name•ess•
Address:
City:
City:.^_ —
Zip: Phone:
Zip: Phone: ...
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the: work and installatlon as Indicated.
I certify that na work or installation has commenced prior to the Issuance of a permit.
St. Lucia Counttyy mattes no representation that Is grantiing a ermlt wil! authorize the ermit holder to build the subject suit�qure
Is In conflict with a% pplicable Home Owners Association rules, bylaws or an�covenants that may r trlct ar prohibit such
which
structure. Please consult w your Home Owners Asaotiadon and review your deed r any restrictians whic 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 concur rency review: room additions,
accessory structures, swirriming pools, fences, wails, signs, screen rooms and accessary uses to another non-residential use
WARNING TO, OWNER: Yclur failure to Record a Notice of Commencernte result In your paying twice for
imprav nts roperiy. A Notice of Commence . t m e recor and posted on thejobsite
bsfa the inspectla if you intend to obtain #[Hanoi r«ottstr t ith lender r art attorney before
rTeco In or tie rat. -
Sign a of 0 r ee/Contractor as Agent for owner
S nature of Co tractor/license Holder
STATE 0 R DAA,
I (' \
STA MA
COUNTY OFw � & V'- 'y
COUNTY OF
Tits �orzoing Instrument was acknowledg d before me
this/r^1 day of t—C11/I �U by
fie for oing Instru nt teas acknowledged before me
thisdl . day of . 26 \by-
EI K S'1r i
. (AJNV�, L I t` k -ShLl
Name f person rg statement —' --
Personally Known ✓ OR Produced Identlficatfon
blame of rAo-Kaking statement
Personally Known OR Produced identification
Type of [den [cation
Type. of IderMfication
Produced
Producad�
(Signs
(signatur of lvota blic- Late o Florida t
KRISTIE KIRK
Commis aYp a "; Notary public-State(shiii r,da
l Commission No. ",, KRIST([eilORBY
I
_ �= ommission * GG 92 70
;_ ��_Notary Public -State of Hod—
My Commission Expires
October 23, 2023
- += Commission #i GG 925370
a, r-c
�����
}
October2
,'2_tr
I REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR I
REVIEW
PLANS VEG
REVIIrW REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE;
GO M P LETS D
Rev, s/2/v