HomeMy WebLinkAboutEdward Stewart 1512 Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: /i(,��� Permit Number:
CA
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: f4er®o �
PROPOSED IMPROVEMENT LOCATION:
Address: 61LJS D►cl6nsor% 'Te.rrc C e 3-Al
Property Tax ID #: 3�j 15- `toe ` (70 CIO — 000 - Z_ Lot No. �
Site Plan Name:' �;� 61 Vi r � f 1 1 S Ke � ��� Block No.
Project Name:��,i
I DETAILED DESCRIPTION OF WORK: j
New Electrical Meter Second Electrical Meter,
I CONSTRUCTION INFORMATION;
Additional work to be performed under this permit- check all that apply:
Mechanical _ Gas Tank —Gas Piping _ Shutters r Windows/Doors _ Pond
Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction: 14,63 1
Cost of Construction: $ a.�l�g�i•
Generator Roof 5_ Q Pitch
Sq. Ft. of First Floor:
Utilities: _Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameS +�G Y2,.V-
Name: 1Lo'7-� ` ■"'��� ��
_f_df&.a.J
'
Address:_ 0 LAS Ne-ki nson l C.l)"i u e,
Company: 'i'r; fc*N Rock,qq and
1266tnra_L1-\
City: pow Sf Le, state: C C-
Zip Code: t-052 Fax:
Phone No. 77 - go I -595q
E-Mail: ('.S�'et �r�Co rn&C. , ®V�1
Address: C150 SR I A), S ti: iQeP
S r
City: S�. 'Tak ;
I Zip Code: U25ct Fax:
( Phone No qcI - (2 fC" S<ZI Z
State: �L
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
i E-Mail R ��+o� h
mod/ �(�•
State or County License
C(
If value of construction is 2500 or more, a RELUxutu Notice oT Lommencemens is requireu.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION
LIEN LAW INFORMATION-
- Not Applicable
Name:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address;
City:
Zip: Phone:
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:_
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
Not Applicable
State:
NotApplicable
OWNER/ CONTRACTOR AFFIDVIT: 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
%AM-, Innrlaar nr nn a+fnrnov hpfnrp rnmrnpnrima wnrk or recordine your Notice of Commencement.
Signature of Owner/ Lessee/CohlActor as Agent for Owner
Signature of Contractor/L tense Holder
STATE OF FLORWA
COUNTY OF t t C- l
STATE OF FLORI
COUNTY OF U LLG16Z-
worn to (or affirmed) and subscribed before me of
al Presen" e or Online Notarization
S�wprn to (or affirmed) and subscribed before me of
N Ph icai Prese ce or Online Notarization
t0Ct,'LGTL_
,y�s
t is LMa3y of �Gi 'ice 2024 by
this LNay of , 202t by
Name of person making statement.
Name of person making statement.
Personally Known OR Produced IdentificationX—L
Personally Known OR Produced Identification
Type of Identi is
Type of Identification
P d d
l
Z'2L
Produced
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( gn ure f Notary Publics �' \ qrd. ,' ��
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( gna ur of Notary Public- St e of Flo`�CI�
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Commission No. " al} ; * =
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Commission No. 1�j �� 07 ` � ,{ �P \L 1p�
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