HomeMy WebLinkAboutBuilding Permit ApplicationAll APPL MLE lNF0 MUST RE COMPLETW FOR APPLI InON To Be AccEorsn
Date; 03.11-2021
Percent Number,.
0
Building Permit Ap lication
Pfdnning and 0,-velapment 5+ i tes
80ding and Code Flegukwory MvisMn Commercial Residential �
2300 Virginia Avenue, Fort pWce Fc 34982
Phone: (772) 462-2553 Fax: (772) 4662,15,78
PERMIT APPUCATION FOR:Reroof
Address: 6910 Sunset fluid
Properly Tax I #-..W2-W94M2-0MA
Site Plan Name- Hellas tat NCB.
Project Name-
Belles stock No. 711
••.. ..�cw .s.raa srrC4Ci ,JecGno Electrical Meter
Additional work to be performed under this Permit —check all that apply:
Mechanical Gas Tank _,-,_ Gas Piping
Electric Plumbing 1 Sprinklers
Total Sq. Ft of Corlstruction: U
Cast of Construction: $ U
— Shutters _ Windows/Doom _ Pond
— Generator 'XRovf —4—1 1-- Pitch
Sy. Ft. of First Floor:
tllities: _ Sewer _ � Septic Building Height: 20
Name stave sells
Address: 6910 Sunset i3lvd
City: Fort Pierre State;
Zip Code: 34982 . - Fax: —
Phone No. 7723328450 � ��.
E Avail:
Fitt in fee *"pie Title Holder on next Page (N d(ffer+ M
from the 13vnmr lasted above)
Name: Richard Colke
Compsny:I Bit asters loot Repair
Address• 61H1 13uC Stan Drive
City: Fort Pierce State: FL
Zip Code: S49$2 _ -- Fax
phone No 7723328450
F�Mall cichie�ilet#i�igitlaii.rorr�r
State or County UcenSe 20783
W value of conshucuon is 2sW or more, a RECORDED Notice of Commencement is raga
I# value! of HAVC to $7,5W or mare, a REWRI)SO Notice of ComtlIffixffiftnt is raWked.
Address:
City: Mate. - .
ip: Phone,
FEE SIMPLE TITLE HOLDII _ Mat Applicable
Dame:
Address:
city:
Zip:
E�WNfR fM
MORTGAGE COMPANY: Not Applicable
Name,,
Address:
City: —State.
'Zip' — Phone: _
BONDING CompANY: Name: —Not Applicable
Address:
City:
Zip, -- Phone,
Application t IVTl AC1Qtt Aff�l# Vli`: Application is hereby made to obtain a permit to do the work and installation as indicatad,
f certify that no work or installation has commenced prior to the issuance of a permit,
St. Lucie Cac►nnYil makes nnr� repro ntatitin that fs grarrting a �aermit will authorize the ertnIt holder to build the sabjectstructure
which i& fn Co tct t+sritiY ar►y pi:►Jlra�e �crrta E?Hrners Assvctat#on rotes, bylaws a c+avenants that m
structare. Please consult uvit your dome Owners Assocfa#ast and review our may restrict or prohibit such
to ronsideratfon of the Y = r aEny restrictions which may apply.
granting of'Lhis re aaested
[n accordance wftfr t}re approved plans, the Fl#rid Redid f± Cartes and sr e that a you nty I will, i all redin perfnran the work
The fofJowing building perrtrit appffcations $re exempt €rom undergoing a full concurrency review: room additions,
accessory strtrtture4 mming l Is, fences, walls, signs scream rooms a d
WARNING TO OWNER: Your failure to Record a NC+tite of f ammen a+accewo en ma a rto another non-residentrel use
improvements to your property. A Notice Of Commencement must be recorded iesuft in lnthepublic twice
for
of St.
Lucie County and posted can the jobsite before the first Inspection. if you intend to obtain Rr►�tncing, consult
With tender or an Aft" before commencing w� work nr rrnmjjNe}..,e — w�...a__ _r . .
._-•,."",r %-It'U"ZraacrasAgentfor Ovmer
STATE OF FLORIDA ]
COUNTY al`
r" to (or affirmed) and subscdbed before me of
is Z5ical Pre e r Online N Notarization
day of by
Name of pzcsan making statement.
Personally KnowOR PrWuced Identification
Type of Identifies a
Produced
(Si tiJ tyPUbHc-jonda Irl
ri/AvrIII
2 f I C-MMISSiON #GG165030
commission No.f�jRES: DEC 04, 2021
e i no
1st State Insurance
;STATE OF FLORIDA
COUNTY tlf
Swro to (or affirmed) and subscribed Before me of
Meal Presen anifne Notarization
th s day of 2020 by
Pram 0-Perspn making t,
Personally Known OR Produced identification
Type of identification°-�
Notary Pubti.
Commission No.
NIl' COMMISSION #GG165
## RES: DEC 04, 2021
�tindedrough 1st State Insur
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