HomeMy WebLinkAboutBuilding Permit Application - Tank InstallAll APPIJCABI-E INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 2/2312021
Permit Number: LC - ) Ob 9 - 061 b
Plpnning and Development SBuilding Permit Application
ervices /
9uUng and Code Regulafion Drvision Commercial /
2300 Virginia Avenue, Fort Pierce FL 349B2 Residential
Phone: (772)462-1553 Fax: (772) 462-1578
PERMITS APPLICATION FOR: TCMi . 1 n S-1 G 1 k (-h 0n
Address: __ 1.$ 1,- C r n rVU Y(j Cl,i C 1 Y 1U
Property Tax IDfi: 1335 - 56 - dpyp -0c)0
Site Plan Name: 7`?"3 1 � Cii i1'11'Y o y7 i ri 1 f i,r
Project Name: ((AnIr i I i-ri i i
New Electrical Meter. Second Electrical Meter
Lot No,_
P1�1 Cam' �L 3i551 Block No.
Additional work to be performed under this permit— check all that apply:
Mechanical ✓ a�cL.
r GasTank Y Gas Piping Shutters
— —Windows/Doors _Pond
— Electric — Plumbing Sprinklers — Generator Roof
Total Sq. Ft of Construction: _ $ - )( 6 K f (1 _
_ Pilch
Sq. Ft. of First Floor:
Cost of Construction: $ ) 0,�? (] Utilities: A Sewer
—Septic Building Height:
Address:
City: _. �,..._.
Zip Code:
Phone No. 9"1 9�3 T
E-Mail: �0.1� � k 9d 8 iUgfYipI Co�T M
FIN In fee simple Title Holder on next page (if different
from the Owner listed above)
Company: U14h r,101 iZs ftj!20 C 'rtiyiJ(`&
Address_195 lilorll('r l I t&
C1ty !h9 f b .r Stater
Zip Code: d Q — Fax:
PhoneNo_3dl -a5S• OLIb(o
E-Mail_ �tynoiLtS ia3 c� bCLISaAt4, rut
State or County License_(,` t_ OS9g_ 5
If value of canstnxtion is 25M or more, a RECORDED Notice of commencement i$ required.
if value of HAW Is $7,W or inure, a RECORDED Notice of Commencement is required.
i Name:
Address:
City. State:
Zip: Phone —'—
FEE SIMPLE TITLE HOLDER: Name: Not Applicable
Address:
City:
Zip: Phone:
NWRTGAGE COMPANY:
Not Applicable
Name:
Address:
City, State:
Zip: _Phone:
BONDING COMPANY: _Not
Name Applicable
AddresF:
City:
Zip: Phone:
OWNER CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indkated.
I certify that noworkor installation has commenced prior to to
of a permitp
Cie
wihich is it conflict with any aRP �bierHome Ow ize
$
gssocw torn rules, �rllaws or der
and ovenanmit �ts that build
restrict olr prohibit such
structure. Please consult with your Home Owhers Association and review your deed for any restrictions which may apply.
to consideration of the granting of this requested permit f do hereby agree that I will, in ail 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 concurretuy review: room additions accessory structures, swimming pools, fences, walls, signs screen rooms and accessory uses to another non-residential demtal use
WARNING TO OWNER: Your this
W 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 attornr+v
M.
Owner
STATE OF FLORIDA . STATE OF
COUNTY COUNTY I
Swann to (or affirmed) and subscribed before me of
✓ Phyyssical PneseVe or Online Notarization
this �l'day of f-e br'UnL� 2024'by
S to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this 03 day of fC bKA OL111_ 2021 by
Name of person making statement. I Name of person making statement.
Personally known X OR Produced Identification
Type ofldenp"fication
Produced/
(Slgnture of Nbf* Ru—blic- State of Florida)
Commission No. CW-i I b9 Zq-O lim
REVIEWS I FRONT
COUNTER
Personally Known V OR Produced Identification
Type of Identification
of Notafy Public- State
fEEIRo. 95ZSt/+ �� A e
GETATION' SEA TURTLE MANGROVE
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