HomeMy WebLinkAboutBuilding Permit Application^ All APPLICABLE 1NFOrMUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: • �- O'�0�1� Permit Number; a ��
RECEIVED
e
MAR 15 2021
Building. Permit Application Permitting Daaartment
Planning ond'Development selviees St. Lucie County
Building and Code Regulation Division' Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (712) 2-1578
PERMIT APPLICATION FOR:
PROPOSEt�IMPROVEMENTj LOCATION:
Address: U04iAe�L 3�
PropertyTax lU#: 30? l - �`� - 06o 7 6 -6 Lot No.
Site Plan Name: 2��a'�"r'"'?f' � R��'� ��i•/•••� Block No.
Project Name:._ (J � ��-
DETrAiLED..DESCI;IPTION,OF iWORK:
IWO
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMAT[ON: f
Additional work to be performed udder this permit - check all that apply:
Mechanical _Gas Tank , _Gas Piping _Shutters —Windows/.Doors _Pond
Electric Plumbing •rSprinklers ^ Generator �... Roof Pitch- .
Total.Sq. Ft of Construction:, /19J, sq. Ft. of nrstfloor:
Cost of Construction: $ /gg. OOP. — Utilities: Sewer „_Septic
Building Height:
OViINER : L'ESSEE.
/..'
CONTRACTOR:
-
Name
_
Name,,-"
Address:3/� (�
M.
Company:
city:7d
-:State:
Address: g�-l�D Gt� �•�
Zip Code: 41S Ax: i
-''J` ,
City: dZt� Pt�es� State:
Phone No. 7 9M 4R,?-469/A
-
Zip Code: $A19" Fax:
eda
•
Phone No 9%� e'1 4-27
Fill in fee simple Title Holder on next
page ( if different
E-Mail h b ca % a t 2" 4a
from the Owner listed above)
state or County License
Irvalue otconstruetion is 250ti 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.
"U+f vmsKI LUIR I KAL TUR AFFI®VIT; 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 Count�yy makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in con'flictwith an applicable Home Owners Association rules, bylaws yr and covenants that may restrict or pr hibit such
structure. Please consult vdith 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 Mice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted oh the jobslte before the first inspection. If you intend to obtain financing consult
with lender r an atforne before cormnenc9n vvorls or recQ
rdingour Notice of Commencement.
------------------
for Owner I Sumaturg'of
STATE OF FL® A n STATE OF FLOl1i A
C®t3N1 Y 0E-- � f Q, COUNTY OF <- - Ld U(d
7Swo to (or affirmed) and subscribed before me of
. P ysical Presence or Online Notarization this,-2 day of 20d.1 by
Imae �malei'
menL
Personally Known � OR Produced 18entif=tion
Type of Identification
Produced
Commission
enrsslon HH 039826
09/07/2024
Sworn to (or affirmed) and subscribed before me of
NPsical Presence or online Notarization
t isay of Wa /fj , . 20�LL by
�,,ofp LA � 7°nG
Name of p m on ak' tatetement.
Personally Known 0 _OR Produced identification
Type of Identification
Produced
(Signature of Notary Public- S �� tdlrry Public stale o► Frond.
me Merritt Woodard
a My Commission HH 039826
Commission No. Aouhy. "-I 09107/2024
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