HomeMy WebLinkAboutBuilding permit applicationAll APPLICAllil INFO] MUS[ 01 COMOM I l 11 f Olt APPIICAtION 1U lit ACCIPIFU
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Permit ldural,rr
N "'L' l.. U&711'
Building PP Permit Application
PlOnrriilq 411d Development ServKes
dfuildinQ and Code Regulation ❑ivrsran Commercial Residential
2300 Viripma Avenue, For; Fierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR.
PROPOSED IMPRQVfMENT LOCATION:
Address: 5405 Deer Run Dr
X
Property Tax ID N. 1313-502-003E-000-0 Lot No.461
Site Plan Name: Chaloux Block No.
Project Name: Chaloux
DETAILED DESCRIPTION OF WORK: �
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION'
Additional work to be performed under this permit —check all that apply:
—Mechanical — Gas Tanis _ Gas Piping _ Shutters
Electric — Plumbing _ Sprinklers
Total Sq. Ft of Construction:
Generator
Sq. Ft. of First Floor:
Windows/Doors _ Pond
Roof Pitch
Cost of Construction: $ 6873 Utilities; —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameJohn Chaloux
NameJom Saurey
Addre5s:5405 Deer Run Dr
Company _Tuff Shed
City: Ft. Pierce State: _
Address:13524 E. Colonial Dr.
Zip Code: Fax:
City: OrtandD State; FL
Phone No.
Zip Code: 32817 _! Fax:
E-Mail;
Phone No407-282-2444
Fill in fee simple Title Holder on next page 4 if different
E-Mail Y
State or County LicenseCSC1253646
from the Owner listed above
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
If value of HAVC Is $7,500 or more, a RECORDED Notice of Commencement is required.
M1111'I t All N t At , t irl-, l it I� III IN III N I AW INI [. 11MA I ION
Ul tlrhll It}I fV1EifVL i It T Not Alrf11+ !~�n T Il11I0ltrG CDAAIrAHY: Hot Apphc&bla
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FEE 5 PLE TITLE HOLDEW Nul Al�pl+table BO OINK, COMPANY: Not gppl,t;ablr.
IVan►v._� Name:
Addtess: Addfew$:
City: City:
zip. Phone' zip: Phone.
OWNER/ CONTRACTOR AFFIOVIT• Application is hereby made to obtain a permit to do the work and +nstafilation as indiceted
I cemfy that no wviA or installation has commented prior to the Issuance of a permit,
St. Lucie County makes no ieprosentatlon that Is granting a ppermit will authorize the permit holder to build the sublet Such
wh,tfs Is in fpn ,ck wuh any ppIicable Horne Owners Assoc at rules, bylaws pr an covenants that may restrict Or prohibit I
skiucture-Please consult wil r your Horne Owners Association and review your deed or any restrictions which may OPP Y
In consideration of the granting of this requested permit, I do hereby agree that t will, ,n all respects. perform tine work
in accordance with the approved pians, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applIca tlans are exempt from undergoing a full concurrency review: room additions.
accessory structures, swirnming pools, fences walls, signs, screen rooms and accessory uses to another non•resldentlaI use
WARNING TO OWNEIR: Your ifaiture to Record a Notice of Commencement may result in paying twlce for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
I rrrrp r mintu and nekctael nn tha inhcita hafnra tha f•irct inicnPrtinn- If you Intend to obtain financing, consult
with lender Oran attorney before carrmertcin work or reca►din our Notice of Cvmmencen'lent
A A A J�kl ��/ V-o,7 —
5,gnature- of er esseej ntractor as Agent for Owner Signature C rtitractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA �
COUNTYOF COUNTYOF
5wo to for affirmed) and subscribed before me of S a to (or affirmed) and subscribed before me of
hysOr Preece r Online No a o XPhysical Pre Online N tarization
thi day of 20 this day of 210
Cn
Name of person Makin statement. a IQ g name of person making staterne t- -' 0 U- do rev
Personally Knov. OR Produced Iden , Personally Known 0K OR Produced Identif4a4a%
Type of Identification o Type of identification }¢
roduced 4 Produced z N v ui
sP7I
AA&A PAA.A -
ignature Notary Pub i ate of Florida } (Signature of Notar lit 5tat Florida) r #4.w
Commission No. � {Seal %4: 7 Commission 1,40. (Seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECFIV€D
DATE
COMPLETED
ev.