HomeMy WebLinkAbout613 winters creekALL APPLICABLE IN MUST BE COMPLETED FM APPLICATION TO BE ACCEPTED
Date: rR a j Permit Number:
Building Permit Application
Planning and Development Services
8uiiding and Code Regulation Division
2300 Virginia Avenue, Fort Pierce Ft 34982 x-\
Phone: (772) 462-1553 Fast: (772) �462-1579 Commercial Residential ;_.
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of tine
PROPOSED -IMPROVEMENT LOCATION.
Address: � tn� rAJ dS �.RE �!
Legal Description:
Property Tax ID # r� _ Y d Q ! CC'3� _ tot No.
Site Plan name: Block No.
Project Name:
Setbacks Front Back: Right Side:
Left Side:
DETAILED'DESCRIPTION OF:WO,RK-
>E-<f 1 1Af6 ='l1A J 410 t IP,C
CONSTRUCTION INFORMATION
tttona wor to e e orme under this permit —check
UVAC 013asTank ElGas Piping
all app y:
Shutters
Q windows/Doors
_
2 Electric Q Plumbing
[]Sprinklers
E] Generator
011oaf Roof pitch
Total Sq. Ft of Construction:
010
Floor:
SQ. of First Floor:
Cost of Construction: $ / 10
Utilities
Sewer
Septic
Building Height:
OWNERf LESSEE:
Name -I�Y Pu(NE: 1 :.Lwo� f)RV+S.
Address: —
City: S i A rl l- c state- Cr
Zip Code: 06903 Fax:
Phone No, 77 - 93 4 qq_-'�
E-Mail:
Fill in fee simple Title Holder on next page [ if different
from the Owner listed above,,
Name: ARTHUR ENGF..i IANN
Company. ACCURATE ELECTRICAL CONTRACTING, INC
Address: 61 AJik) 1Di-tCtH10 .0iV4
Cam. PORT ST. LUCK State: FL
Zip Code:. _ q;qU6 Fax:
Phone No. 772-878-9171
E-Mail: ACCURATEELEGTRiCPSL@OUTLOOK.COM
State or County License: EC0003072
N value of construction is $7500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTIONLIEN LAVA INFORMATION -
DES IGNERIENGINEER: Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: Name: ARTHUR ENGELMP NNf
Address: Address:
City:
State: City: PORT ST.LUCIE State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLEHOLDER: — Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
AddreSS:71N GUU-0'r i PLACE Address:
City: City:
Zip: Phone- Zip; Phone:
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 fallowing 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 your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the f' st inspection. if you intend to obtain financing, consul lth lender or an attorney before
commenciyU or rrdin our Notice of Commencement.
Signature of Own/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OI'_
The forgoing instru nentw9 acknowledged before me
this __Z day of 7 202t by
Name of pe son making statement
Personally Known identification
Type of identification
Produced
�/ 999 f
(Signature of Notary Public- State of Florida )
commission No. ��`��p`�-;: • j s4onrlRG'��0
pe�ER
S
REVIEWS FRONT �l114ING WRVIIOR
COUNTER'a a RI�,U�►1,a�~±
DATE
RECEIVED
DATE 11ioO*"
COMPLETED
Kim W117
of Cofactor/License Holder
r
STATE OF I LORIDA
COUNTY OF
The for oing instru ent was knowledgggd� before me
this 7 day of 2Q dr by
C�
!Name of person making statement
Personally Known _,��OR Produced Identification
Type of identification
Produced
(Signature of
Notary Public- 5ta a of Fiorid�l�11l1If1II1l1ilj�/Gi
�� C. V1� lA 0
i
Commission No. �� p , ION ram'- O V O,
h + ER
PLANS I VEGETATION
REVIEW REVIEW
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FPS