Loading...
HomeMy WebLinkAboutPeduto Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Planning and Development Services Permit Number: Building Permit Application 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: J r�Yf-ubtu IMPROVEMENT LOCATION: Address: W"6;rT / LAf ?;WA QTJ 0 T-1 3 4% 9() Property Tax ID #: a - C n`Z - y Lot No. 2- Site Plan Name: Project Name: 26 D" -rie DETAILE© DESCRIPTION OF WORK: New Electrical Meter Second Electrical Meter ItNFORMATION Additional work to be performed under this permit- check all that apply: Block No. _Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors Pond _ Electric _ Plumbing _ Sprinklers _ Generator , Roof — Pitch Total Sq. Ft of Construction: 'jC Sq. Ft. of First Floor: Cost of Construction: $ ri t Utilities: —Sewer —Septic Building Height: Name WTI �1Cy- Address:13i h FC�J QV City: �k)y� 0A-1 State: V) Zip Code: 3a9q� Fax: 6 Phone No.. Fill in fee simple Title Holder on next page (if different from the Owner listed above) CONTRACTOR: Name: Company: 'T"00 nwi t cc Address: 166"1 j J%jCis- c/' City: 10" kj6�- Stater Zip Code: ?XA9 Fax: -- Phone No S 6)-- 2�3-- 1,Q'�D E-Mail o)W(Q_e -(,,— ? s c'Y" _ State or County License W-C- !SIIS�D)12 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. vcanaevtK/ttvtalNttK; —Not Applicable — Name: CR��f It VE9 J l Address: 14 1 f, 1A i -�Q City: P0�--N =iL� State: `i Zip: ' ,39, Phone j s9g zi FEE SIMPLE TITLE HOLDER: Name: Address: City: Zip: Phone: MORTGAGE COMPANY: Not Applicable Name: Address: Lity: State: Zip: Phone: BONDING COMPANY: AN to pplicable Name: Address: City: 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 Horne 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 with lender or an torney before commencing work or recording your Notice of Commencement f / Not Applicable Owner/ Lessee/Contractor as Agent for Owner STATE OF FLORIDA COUNTYOF Swor o 7(or affirmed) and subscribed before me of P ysical Presence or Online Notarization this & day of __WW I L-- 202b by Name of person makings tement. Personally Known OR Produced identification Type of Identification (Signature of Notary Public- State ° �Notary Public - State < Commission No. Me" Commission # HH 0 `9 My Comm. Expires Aug REVIEWS FRONT ZONING COUNTER REVIEW DATE rSUPERVISO RECEIVED DATE COMPLETED Signature of Contractor STATE OF FLORIDA COUNTY OF� �la►nr i / f 1 SworPto (or affirmed) and subscribed before me of hysical Presence or Online Notarization this day of ..1 C- 202J by Name of person making statement. Personally Known OR Produced identification Type of Identification Produced _fLigDalure of Notary Public- State o ;o<►� u�,• �— — — — Y'p IN ROBERT ERIC EPS lion No. m— � =I�Notary Public -State e 760 Commission # HH 0 i, 2024 oFF° ` My Comm, Expires Aug REVIEW VEVEWON I S REVIEW I � EV EWVE