HomeMy WebLinkAboutBRIAN SCHAFFER PERMIT APPLICATIONAll APPLICABLE INFO MIDST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Permit Number:
BuildingPermitApplicatior
Planning and Development Services
Building and Cade Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-15 78
PERMIT APPLICATION FOR:
Commercial
Residential Y
O
Address:
b '�p JVn I. C:4 Zuo
Property Tax IQ #: - -
D I -----------------
Lot No,
Site Plan Name:
Block No.
Project Name: _ 01A 0,r ^1
,1- _.
"%;"" LIU1.L1I4,dI ivit2ter Second Electrical Meter
�o�VS�=t�`�TI C3� �l �t�o � MITI C.� N• � .. .: .. .. .
Additional work to be performed under this permit - check all that
apply:
—Mechanical Gas Tank Gas Piping Shutters
Windows/doors Pond
Electric Plumbing Sprinklers --- p klers � Generator � Roof m Pitch
Total Sq. Ft of Construction:
Sq. Ft. of First Floor:
Cost of Construction: $ s -7 S I77. Utilities:
Sewer Septic Building Height:
7777777777
Name:
Company:'�Ex
Address:ji�j
City: _ laA t U2 � state:
Zip Cody: �Ci3�Fax:
Phone Na 7 4 —7'Z(3'�
E-Mail- A _q J'6� 10 Y -6C, C00 i � - C-aK
State or County l.icense_C,&C 19- L94
If value of construction is 2SA0 or more, a RECORDED Notice a �
f Commencement is required.
If value of MAVC is $7,500 or more, a RECORDED Notice Of Commencement is required.
OWNER/ CONTRACTOR AFFIDVtT: Application is h� _- pp 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 issua
nce of a permit,
St. Lucie Count makes n® representation that is grantinga permit '
which is in u ntiict with o applicable fa will authorize the permit holder t
Y pp ble Home Owners Association rules, bylaws or and covenants that may
thectorsubject structure
structure. Please consult with your Home Owners Association and reviewy restrict or prohibit such
your deed for any restrictions which may apply.
In consideration of the grantin f th'
g o is requested permit, I do hereby agree that I will, in all respects, perform the w
in accordance with the approved plans, the Florida Building Codes work
g and St. Lucie County Amendments.
The following building permit applications are exempt from u
orals p undergoing a full roncurrenGy review: room additions,
accessory structures, swimming pools, walls, signs, screen rooms and -acce
.ssary 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 y �
Lucie County and posted y� Commencement must be recorded in the public
Y p ted on the jobsite before the first inspection. I i records of fit,
wit er or an a before comm p f you intend t� obtain financing, consult
commencing work or recording our N �of Commencement
Sig of Owner/ Le see/�® actor as Agent for Owner
STATE OF FLORIDA
COUNTY OF
A
Swor Wto (or affirmed) and subscribe
d before me of
_1Z Physical Presence or online Notarization
this day of
2020 by
Name of person making state ent.
Personally Known CAR produced Identification
Type of Identification
ed
USigna of Notary ublic- State o Flo, '
Commission No,
SHANNON WATTS
My COMMISSION #HH 4,
=`Al)' EXPIRES:
�SEP 16, 202
Bonded through 1st State Ins
REVIEWS
FRONT ZONING ?
SUPERVISOR
DATE
COUNTER REVIEW REVIEW
RECEIVED
DATE
COMPLETED
ev.
Signs e of Contractor icense older
STATE of FLORIDA
COUNTYOF
.
Swor .,to (or affirmed) and subscribed before me of
—_t- Physical Presence or online Notarization
this — dray of !_____ 2020 b
,// A r
e
Name of person making statement,
Personally Known OR Produced Identification
Type of Idenification
-----
Produced
Ft 1 F}=
S n a to r' ---� _
g o- ary Public- State
s Q' �� SHANNON WATTS
Cc mmission No.
} ®MMISSION 7 4
1 35
ea 3
PIKES: SEP
Bonded 15 2Q24
w�JjlJlllfltlWO�°9 through 9
- gh 1st State Insuran ,6
PLANS
REVIEW I VEGETATION
(S REVIEW EA �� I MANGROVEREVIEW