HomeMy WebLinkAboutPermit ApplicationAll APPUCAB E I FO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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Building Permit Application
Planning and Development Services
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:
x
Address: 1166 ANGLE RD FT PIERCE FL
Property Tax ID #: 2406-411-0005-000-9 Lot No.
Site Plan Name: Block No.
Project Name: Angle Road Storage
New Electrical Meter Second Electrical Meter
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: $ Z I CO c Utilities: -Sewer Septic Building Height:
4 i P
NameAngle Road Storage LLC
Name: 7 J
Address:533 SE Central Pkwy
Company: �AV -Lo 4L/c,,�,JJJ *t :K JHt
City: Stuart State:
y
1 ^�
Address: -�'i 3 SE Ce., tr.l
_
Zip Code: 34994 Fax:772-286-7859
City: -'�tVA f State:
Phone No.772-286-7385
_
Zip Code: � i 9 9 c1 Fax:77Z 9 - .3 E S
E-Mail:pavcocontracting@aol.com
Phone No 2 -73IR
Fill in fee simple Title Holder on next page (if different
E-Mail C 1 (t �i C L � L C
State or County License
from the Owner listed above)
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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
NEER: Not Applicable I MORTGAGE COMPANY: _ Not Applicable
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone
_Not Applicable
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 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
improve r property. A Notice of Commencement must be recorded in the public records of St.
Lucie my and posted on the jobsite before the first inspection. If you i to obtain financing, consult
with nder or an attorne before commencin work or recordin otce of Commencement.
Signature o Lessee/Contractor as Agent for Owner
Signature dR Contra r/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTYOFMrkVh\r\
COUNTY OF MQ4(�'\%
Sworn to (or affirmed) and subscribed before me of
,
Sworn to (or affirmed) and subscribed before me of
• Physical Presence or —Online Notarization
J Physical Presence or Online Notarization
this Q day of 1iCTr\\ 202Q by
this day of AQC\\ 2024by
W1\I�c�nn (`,fAnt�,
II V\0crn oni(2 o
Name of person making statement.
Name of person making statement.
Personally Known \/ OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
gna ure of Notar ub' - of F �euc sate of Fora.
gnature of Not ry u tic- ige of�dgF{dWdec stow d Fwdm
Brittany Lynch
Commission No.'�c My �cnGG273142
_ K Brittany Lynch
Commission No M MyCO� �Gor372J
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