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HomeMy WebLinkAboutGAWRON St Lucie Building Permit 2021All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: Building Permit Application Planning and Development Services Building and Code Regulation Division Commercial Residential 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: I PROPOSED IMPROVEMENT LOCATION: Address: 53aS (horntean Circe If 40'.Oz `ce 3 4f 9 F9 PropertyTaxlDti: I`I i(D + SDa —0366- 000 — % Lot No. 366-- Site Plan Name: ©ceon (&r4olct CDooeJrx+, L742 C� 1+e. 34 bl Block No. Project Name: WaIkWAy haus'e, DETAILED DESCRIPTION OF WORK: Olt"..o a 18g New Electrical Meter Second Electrical Meter CONSTRUCTION INFORMATION: Additional work to be performed under this permit— check all that apply: _Mechanical _ Electric Gas Tank Plumbing Gas Piping Sprinklers Total Sq. Ft of Construction: 4/0 X 6 2 cNO SQ- Cost of Construction: $ _Shutters —Windows/Doors _ Pond Generator _ Roof Pitch Sq.. Ft. of First Floor: Utilities: _ Sewer _ Septic Building Height: 'OWNER/LESSEE: CONTRACTOR: Name t6 &AWftor,) Name: wt,N.iz Address: 11,*& Meadan/b&?±,a Company: City: W%JL� ,-I,46A State: Zip Code: c7i3 C{ 1 Fax: Phone No. 51.1 70 a 1S Address: City: State:_ Zip Code: Fax: Phone No E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail State or County License 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 CONSTRUCT?LIEN LAW INFORMATION: DESIGNER/ENGINEER: V Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: OWfrTC(k , Name: Address: Address: City: State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: of Applicable BONDING COMPANY: 'ot Applicable Name: Name: Address: Address: City: City: Zip: Phone: 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 our Notice of Commencement. Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder 1 STATE OF FLORIDAC1L1fY1 STATE OF FLORIDA COUNTY OF �C COUNTY OF Svzrn to (or affirmed) and subscribed before me of hysical Preseqce o Online Notarization this day of I" rV , "2trby Sworn to (or affirmed) and subscribed before me of Physical Presence or Online Notarization this day of 2020 by Name of person making statement. Name of person making statement. Personally Known 14- OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identification aed. .� L3HJ�'! (Signature of Notary Public,, jfe ofL� a �NSTON Produced (Signature of Notary Public -State of Florida ) Commission No. * ,+ �GG916769 7.2023 ��Os}�lopO Bonded Thu BudPu4oWyS = Commission No. (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETE D ev.