HomeMy WebLinkAboutHESSLER PERMIT APPAll 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: � J ew W ! � � todo w5
PROPOSED IMPROVEMENT LOCATION:
Address: o cam{ f-1
Property Tax I D #: - od9 F) - 00Q - 5
Site Plan Name:
Project Name:
Lot No._
Block No.
I DETAILED DESCRIPTION OF WORK: I
(MC vyS
e L tsgD3
New Electrical Meter Second Electrical Meter
I CONSTRUCTION INFORMATION: I
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
Total Sq. Ft of Construction:: Sq. Ft. of First Floor:
Cost of Construction: $ ?5 . O Utilities: —Sewer _ Septic
Roof Pitch
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Y125
SSIer
Name: ZN
�l1xkC C
Address: Lpo r)
Company: C C
.
City: F
Zip Code: � CG
Phone No.
-• State: _
Fax:
`93 C_Q�
Address: C I L4 o
S
QS
121 f1k^fira I
City: i Rem
Zip Code:
Phone No
e
S
a1
State:_i
Fax:
3b �D
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail l C
fY1Ol
State or County License
It value oT construction is Z50U or more, a RECORDED Notice of Commencement is required.
If value of HAVC is S7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN UAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
MORTGAGE COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
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v■■--i LU11 r rwL I Vr% HrriL vi I : 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 Signatur of C ntr or/License Holder
STATE OF FLO�(OJA
�,,,, �D _ STATE OF FLORID
COUNTY OF V C� COUNTY OF l G_n I? 1V-Q_l —
Sworn to (or affirmed) and sub cribed before me of Sworn to (or affirmed) and subs 'bed before me of
P sical Presence or Online Notarization Physical Presence or Online Notarization
this W day of CVlCtY?, - 202t by this I S day of 2024 by
,0,!5S(
Name of person making statement.
Personally Known OR Produced Identification
Type of Identification
Produced �yllllot+�ONEYoo���i,
A x!' If 1 11 rl\ A � nra����� :►tS�loN �; q�`
.(k�
Name of person maki:�C)R
tement.
Personally Known Produced Identification
Type of Identification
Produced
(Signature o'-*tary Public- State f Floaa signature of Nc
Commission No. #GG34169 4mmission No.
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�Lage ended t�ec�;�' p
ublic- State of FI
26NOi
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REVIEWS FRONT ZONING �' �� PLANS VEGETATION SEATIfI,lu°a J?�I • ��
COUNTER REVIEW REVIEW REVIEW REVIE;y�'p'9;N�I�lyj�f��
DATE
RECEIVED /j/`flIlilil4��N``
DATE
COMPLETED