HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date Permit Number:ff. I �Q�
nn L CT C 11 a
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial X Residential
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578
PERMIT APPLICATION FOR:STANDING SEAM METAL AWNING
Address: 3751 VIRGINIA AVE
Property Tax ID#: 2420-221-0001-000-2 Lot No.
Site Plan Name: Block No.
Project Name: DOLLAR GENERAL
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INSTALL STANDING SEAM METAL AWNING AT FRONT ENTRANCE
New Electrical Meter Second Electrical Meter
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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 Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 5724 Utilities: _Sewer .Septic Building Height:
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Name HSC FORT PIERCE LLC Name:MARK NELEN
Address:PO BOX 130 Company:SUNSTATE AWNING
City: DAPHNE State:_ Address:50 KEYES CT.
Zip Code: 36526 Fax: City: SANFORD State:FL
Phone No. Zip Code: 32773 Fax:
E-Mail: Phone N04073301044
Fill in fee simple Title Holder on next page(if different E-MailGAIL@SUNSTATEAWNING.COM
from the Owner listed above) State or County License SCC131150903
If value of construction is 2500 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.
SUPPL'EMEN,,� ONS, "UCTI''_ON LIrEN LA►W 1NFORNIATION
DESIGNER/ENGINEER:. _Not Applicable MORTGAGE COMPANY: Not Applicable
Name:mbLYEr:ENGINEERING,u;c Name:
Address:1060.E:INDUSTRIAL WAY SUITE W Address-
City: State:: City:
olANCE clrr
-
Zi;p: 3263 Phone3e6532e000. State;
Zi Phone:p
FEE SIMPLE TITLE HOLDER:. _Not.Applicable BONDING COMPANY: Not Applicable
Namei _ Name:
Address: 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.Counw-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 restrictor prohibit such
structure:Please consult wlth.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 ereby agree that l 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:Yaurfailure to Record a Notice of Commencement may.result in paying.tvuice for
improvements to your roperty. A Notice of Commencement must be recorded in.the:public records of St.
Luci ounty and e o the jobsite before the first inspection. If you.intend to obtain,financing, consult
i lender Or a attorne efore commencing work or recordi-ag-VoRtrNolic Commencement..
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Signat 'e of Qw er/Lessee/GontractorAs Agent for Owner Signatbure of Contractor/License Holder
S AF FLO DA STATE'OF FL'OR DA
COUNTY OF COUNTY OF
Sw rn to(or affirmed).and subscribed before me of Swo n to(or affirmed)and subscribed before me of
Physical Presence pr Online Notarization Physical Presence or Online Notarization
this�{$ay of 202t� by this .day of is AZ i L 202 j by
Name of person makin tatement.. Name of person,making statement.
Personally Known _OR Produced Identification Personally Known ,OR Produced Identification
Type of Identification Type of Identification
Pro� edo Produced
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(Signature of No ary Public-State of Florida) (Signature of Notary Pub Ic-.State of Flori
Commission No. -- It " `,�ie's Notary Public ��lorido
SMITH Commission No 0
22 t rEndo Gail an ey
rr Notary Dublin Stage of Flprida �}�.i!9�7 a M Commission GG28Z853
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••+.OF FL •' My Comm.Expi S.Aug 10,1023 --
REVIEWS FRO �' F ,Nate na PIWY15 R PLANS VEGETATION SEATURTLE MANGROVE
COUNTER RE L REVIEW REVIEW REVIEW REVIEW
.DATE
RECEIVED
DATE-
COMPLETED
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