HomeMy WebLinkAboutPermit applicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Dater Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Residential X
PERMIT APPLICATION FOR:
- �3�nQIC-1 om�t\� V-cs' dd' M C-C,
I PROPOSED IMPROVEMENT LOCATION:
Address: ` i � . t -Lx,
Property Tax ID #. ,z�.� - -7o2- _ ,2 -con Lot No.
Site Plan Name: Block No.
Project Name: c_a k
DETAILED DESCRIPTION OF WORK:
New Electrical Meter -vim -Second Electrical Meter
I CONSTRUCTION INFORMATION:
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 Roof �L1[j — Pitch
Total Sq. Ft of Construction: 3r�2_4 -% c s� . G(Cj AtC Sq. Ft. of First Floor: qq AC 13Z2A t_)-�q
Cost of Construction: $ Utilities: _ Sewer Zseptic Building Height.
OWNER/LESSEE:
CONTRACTOR:
Name PhI
Name: Andrew Nadalin
Address: 10g0 JCL-ri%�O��,PS V� 6I 4 Sk�',/
Company: Pace 2000, Inc.
City:yC M Eccc_i---� State: FL
Zip Code: 32-C4C(D S Fax:
Phone No. qG - 'C-�-J - 0)J22_
Address: 445 NW Prima Vista Blvd.
City: Port St Lucie State: FL
zip Code: 34983 Fax:
phone No 772-340-7223
E-Mail: ���
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail admin 9pace2000homes.com
State or County License CBC059859
vaU= VP 96VF1bLru1_uon is c:)uo or more, a xteVKutu Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESfGNER ENGINEER: Not Applicable
Name: J�MC�i.�_
MORTGAGE COMPANY:
= Not Applicable
Address: C�j E17, Qs�f)►q I _
Name: MA i - != l i-j
Address: -1 1 Ny\! SF
_Q e i r-)
l_.uCG�.Wjc;c t P>4v
City: -t- State: ---L-
Zip: i 12 2S2 - L-736-
City: 4, E L
Zip:_��4 DS'3 Phone:
State:_
---I i'L3 -1 - C) cj-
FEE SIMPLE TITLE HOLDER: Not Applicable
BONDING COMPANY:
Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
f11AlRICD / ! nn�To nrrr�n a pp m„ l��
....,,,.�lV ..v,., nm%a E vn mrriuvi 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 1 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 th job ite before the first inspection. If you intend to obtain financing, consult
with lender or;; _ efore cnrra ieacm
� _g, work or recording vour menrPmPnt
Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDAC,,
COUNTY OF . :,'H Lu c-i_'c _ COUNTY OF
Sw rn to (or affirmed) and subscribed before me of
Ph sisal Pres. nce or Online Notarization
this % day of A r 2 by
Name of person making statement,
Personally Known_ OR Produced Identification
Type of Identification
Pro hce�d%
—_.. ✓v `-'�--�+L �cJ . S�' l 1 / i X J
(Signature of NotaryPublic- Stag .,CGsnm #HH03
r�� % iJ %� . s .15,
Commission No. J J�`� Nu
:crR AaW
REVIEWS I FRONT I ZONING
COUNTER REVIEW
DATE
RECEIVED
DATE
COMPLETED
Sw, grn to (or affirmed) and subscribed before me of
7� P,h�sisal Pres nce or Online Notarization
,
this _..Z day of a - 20tU by
Name of person making statement.
Personally Known_ OR Produced identification
Type of Identification
Produced
iature of Notary] Public -
mission No.
SUPERVISOR I PLANS I VEGETATION
REVIEW REVIEW REVIEW
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SEA TURTLE I MANGROVE
REVIEW REVIEW