HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: , 1P12.1 Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Residential X
PERMIT APPLICATION FOR: !7�ngIt lom rf__S1den(t'
PROPOSED IMPROVEMENT LOCATION:
Address: _TM) yy 1 \ SS -Tr i �
Property Tax ID 4. I I ���' - 0 0— Lot No.
Site Plan Name: Block No.
Project Name: 1SCfJ
DETAILED DESCRIPTION OF WORK:
i i�l rem i
New Electrical MeterSecond Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
X Mechanical _ Gas Tank —Gas Piping _ Shutters
X Electric X Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $
r
*255. 9
X Windows/Doors _ Pond
Sprinklers _ Generator )� Roof Pitch
Sq. Ft. of First Floor:
Utilities: _ Sewer _ Septic Building height:
OWNER/LESSEE:
CONTRACTOR:
Name 1 1 Teri 1
Name. Andrew Nadalin
Address:3626 LomQ Rr4
Lahf-
Company: Pace 2000, Inc.
City: 1 o State:
Zip Code: 50_=DL% Fax:
Phone No. r1~i ate- c���o -�
Address:445 NW Prima Vista Blvd.
City: Port St Lucie State: FL
Zip Code: 34983 Fax:
Phone No 772-340-7223
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail admin@pace2000hornes.com
State or County License CBC059859
11 vawe pr cunstrucuon is L3uuor more, a KrCUKULU 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:_�ffxpb MC C
Address:
City:
Zip: 34Phone `" 1
_ Not Applicable
E
State: F
— —
MORTGAGE COMPANY:
Name: '3 '
Add re s:1`1 O
Not Applicable
in V
City:
Zip: Phone:
State:_
FEE SIMPLE TITLE HOLDER:
Name:
Not Applicable
BONDING COMPANY:
Name:
Not Applicable
Address:
City:
Zip: Phone:
Address:
City:
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 lender or an attorney before commencing work or recording your Notice of Commencement.
Signature c Own see Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF —'-s+ Luc 1e
Sworn to (or affirmed) and subscribed before me of
Physical Pres nce or Online Notarization
this iU day of 2020 by
Air, 1 r 1 n
Name of person making statement.
Personally Known OR Produced Identification
Type of Identification
Produced
pa,
(Signature of Notary P blic- Stat Florida
Y A �aula S. Breier
Commission No. (Seeidlim-W 037g51
�� ' Sept 15, .M24
Signature of ra r
STATE OF FLORIDA y f
COUNTY OF S-i'. u.t ,C'
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this day of FC',Bl In rlJ , 2024 by
ArdffLi) Uad(1/10
Name of person making/statement.
Personally Known OR Produced Identification
Type of Identification
Produced
ula S. BMW
(Signature of Notary Py 'c t� f Nam,* ;) EXPiflewt 2424
Commission No.
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