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HomeMy WebLinkAbout47 san roberto permit appAll APPLICABLE INFO MUST BE COMPL1=TEi) FOR Aplal_ICATION To BE ACCEPTED Hate. ! f o[ Permit Number: Building Permit application Planning and !Development Services Building and Code Regulatfan Division 2300 Virginia Avenue, Fort Pierce FL 3'4952 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: Commercial PR)POSED NPRO EME T LOCATION: Address: qrT SA-'Ik b tie e -D !'L� Property Tax ID M 13DI - i I I — c)(501 — Q 00- 5 Site Plan dame: nl ec.t. Qz Gth+ Project Name: kz 9!n! DETAILED DESCRIPTION OF OAK- .ervLg) f , s h 2-P rn c)-V e- Ak :blo r E New Electrical Meter Second Electrical Meter CO STRUMON INFORMATION - Residential ! Lot No. Block No, it 6 Additional work to be performed under this permit- check all that apply: __Mechanical — Gas Tank —Gas Piping Shutters � Windows/Doors Pond _ Electric — Plumbing Total Sol. Ft of Construction: -7 -2 S' Cost of Construction: $ 1--2 a 3 CO. !ante .I A ti no _ Sprinklers Generattor Roof Pitciz Sq. Ft_ of First Floor. 702 8' Utilities: Secs er —Septic tic Building Height: Address: 0SLE (A j . & V/t,I City: State: 0L ZipCode: Fax: Phone No, 7c�- Lf k E-Mail: b bV x-Z D c . ►-r: Co r -� Fill in free simple Title Bolder on next page ( if different from the Owner listed above) COTICTM Name: DY0A L �L Company: Address: E Ito Vso ir✓' r� 1 :0 City: Stater, 2iFs Corte: _ Fax: 92l -i 31- 0 :?>at 5 Phone No J}-ry;_1 1- -p le f-107 f.e -�. � /� �r� E-Mail b 7 1-7—y CT" I e i r L-b r 1 State or County license �C) ) A If value of construction is 2500 or more, a RECORDED ii o ice of C*mencement is regealred. If value of FIAVC is $7,500 or more, a RECORDED It W-ke of Commencement is "u-nid. SUPPL MENM CONSTRUCTPN UM LAW INS AMO ®ESIGNlERIENGI EE& Not Appliable Name: Address: City: State: Zip- _ Phone moRTGAGE eoMPANY: Not Applicable Name: Address: City: State: Zip: Phone: FEE SgDaPLE T MLE HGLUE : Not Applicable Name: BONDING COMLPA017: Not Applicable Name: Address: City: Address: City: - Zip: Phone. Zip: Phone: ®WNERI COMTRAC.TOR AFF IDVIT: Application is hereby made to obtain a permit to do the work anti instauarton as inascazed. I certify that no work or installation has commenced prior to the issuance of a permit. St. Lucie County snakes no representation that is granting a permit will authorize the pertnit Folder to build the subject structure which is in conflict with any applicable House Owners Association rules, bylaws or and covenants that may restrict or prohibit such structure_ Please consult smth your Horne Owners Association and review your deed, for any restrictions which rr 4 apply - In consideration of the granting of this requested permk I do hereby agree that i will, in all respects, performs the work in accordance with the approved plans, the Florida Building Codes and St:. Lucie County Amendments. The follovoing building permit applications are exempt from undergoing a full concurrency review: room additions, accessory structures, sir coming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential~ use WARNING TO OL UMIJER: Your failure to Record a Notice of Commencement may result in paying twice for improvements to your property_ A Notice of Commencement roust be recorded in the public records of St- . e county and posted n the jobsite beforL-Ahe first ins .. "on" If you intend to obtain financing, consult wit lender or an orn before c menciri' work or ec©rd" our Noti e f Co encernent. D� Signature of Owner/ Lessee/contractor as Agent for Owner Signature of Contractor/License Folder � STAITE OF 7-10, S7,A E OF FL3 A COO M OF ill COUM 17T OF Suyorn to (or affirmed) and subscribed before me of Physical Pre sir online Notarization this ]J_ day of 2020 by Name of person malting statement. Personally Knomm OR Produced Identification Type of ldentift ti L Produced 1 00 [Signature of Nat//a''►►ry Public- State of Florida Commission No_ L��7G� � [T (Sea;) Sworn to (or of rmed) and subscribed before me of - Physical Pre or online Notarization this � day of 2020 by Name of person malting statement. Personally Known OR Produced Identification Or Type of Ideretiflirig Produced (Signature Notary`Public- State: of Florida } Commission No. 7 �-� (Seal) REVIEWS � ERo-kgT COUNTER 1 ZONIMG REVIEW SUPERVISOR � REVIEW PLANS REVIEW VEGETATION � REVIEW SEAT URTLE 4 REVIEW MANGROVE REVIEW [SATE � RECEIVED DATE COMPLETED 1 V. 5/6/20 w y p4ecFotary MANDI CHANCE public, State Florida q NIANDI CHANCE Notary Public, State of Florida 1 My comm. expires June My comm. expires June 18, 2022