HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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1� >- ,v. I: L L 44: — Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue,Fore Pierce FL 34982
Phone:(772)462-1553 Fax.(772)462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: i&10P �eg� Ir,n-e of k 5k (.Lt6 AL VFi
Property Tax lD#: 1��:)n\-��{J�2 Lot No.
Site Plan Name: SOo,C-cAa 6 Block No.
Project Name: ,L\OA 9r cc�(,t
DETAILED DESCRIPTION OF WORK:7-4V.4 (00 �10 p 01 v+1Q 1 -�n Gjt�5C'd sfiPe 1 b u,i fc.�/
U n On q Iro
no 0191 elect-r"i C, o dfri Veto
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit-check all that apply:
_,Mechanical _Gas Tank —Gas Piping _Shutters _Windows/Doors �Pond
_Electric _Plumbing
` Sprinklers _Generator ,Roof(,} Pitch
Total Sq.Ft of Construction: �'^i " Sq.Ft.of First Floor: Y`i V
Cost of Construction:$ Q� Utilities: —Sewer >eSeptic Building Height:
OWNERAESSEE: CONTRACTOR:
Name�_C+ { . rl_ti^Ch(Vtj Name:\bf�1_ -S
Address:1560 wC10E01t,A\ t 1 0,A-0 Company: CC"%'
City: 5 State:EL Address.-
Zip Code: -2URfl Fax: City: SI-t,aRL State:
Phone No. Zip Code: -4\� 0Ck.\ Fax: "y2�q(,r -11
E-Mail::Cf? M��\ •( 002 Phone No 257 -UIQ3'`IIICo
Fill in fee simple Title Holder on next page(if different E-Mail er y-,, s=16rVi n Z -Corn
from the owner listed above) State or County License
if value of construction is 3S00 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.
SPL
UPE �iNSTRU �fJ�J.19 LAV11* fJtMATa
DE iGNER/FINCINEE'R. Not A r�i;ab . E C �
p. MORTGAGE�.�9MPAr 1 J: Not Applicable
Narne. Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER- —blot Applicable RONDiNG COMPANY: Nat Applicabie
Name: Name:
Address: address:
City: City:
Zip: Phone: Zip: Phone:
OWNER/CON T RAC T CAR AF FIDVI T: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 ME authorize the permit holder to build the subject strucure
which is in conflict with any applicable Home Owners Association rules,byiaais 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 concurrenol 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 resuit 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. j
n g I
Signature of Qsivn&/Lessee/Contractor as Agent Tor Owner Signature of Cont cZ`Lor{License Holder
STATE OF FLOFUE)A STATE 0y,_FLORIDA
COUNIFYOF LuL,6. CC�Ei�`TY OF '8R� FDRo
Sworn.to(or affirmed)and subscribed before me of Sworn to(or affiirmed)and subscribed before me of
Physical Pretence or Online Notarization J6 Physical Presence or Online Notarization
tfiis J-?`day of -zlvl`L r:: 2020 by this day s, 2020,bb
(Name of person maki g state`ment. Name of person making statement.
/ r
Personally Known 1 OR Produced Identification Personally Known 144— OR Produced Identification I
Type of Identification Type of identification
Produced Produced c
(Signature of Notary Publi tflorid }' - =�
r i `•Tus1a Gr;i ru ee (Signature of Notary Pubh 'ate e of
MARIA R.$U! alN
Commission No. t;: ( eal) \,.uttnjnzatyAW, Commission No. "_ C7rrmissi Q3628d9
hires t ugusl 25.2023
' �•t�,;1ir Trrv:;ts rnsurar F�'19,iR�� tq
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED `
DATE
COMPLETED
ev.