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HomeMy WebLinkAboutBUILDING PERMIT APPAHAPPLICABLEINFOMUSTBECOMPLETEDFORAPPLICATIONT0BEACCEPTED Permit Number: Date: L~1-.`LuCLE ` CQ,uL+rLrY'' L= L. I, lil L' I fi Building Permit Application P)onning and Development Services Building and Code Regulation Divi>iorT 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential Address:13506 NW COCO PLUM CT PALM CITY, FL 34990 Property Tax lD #: Site Plan Name: Project Name: 4436-601 -0026-0004 HAF`BOuF` F{lDGE PLAT NO 1 LOT 26 0R 3934-2041 13506 MARSILIA Lot No. 26 Block No. DETAILED DESCRIPTION OF WORK: ADD ADDITION TO HOME NEW BEDROOM AND BATHROOM L®®++€D ©„T `®Theutt:S]:, Add 4ZJ;7.'ow^C So ¢~P fr.~rs±_ `He Nvi € v 4T I, a ~ New Electrical Meter Second Electrical Meter CONSTRUCTION INFORMATION: 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 Total Sq. Ft of Construction: Cost of Construction: S 195,000 Sq. Ft. of First Floor: Pitch Utilities: _Sewer _Septic Building Height: OWNER/LESSEE:CONTRACTC)R: NameF`ONALD MARSILIA Name:ANDRE E. MICHELE Address: 13506 NW COCO PLUM cT Cctmpany:AEM & ASSOCIATES LLC city: PALM CITY FL state:Address:3 F2lDGEWOOD CIRCLE Zip code: 34990 Fax:NA city: JuPITEF` state: FL Ph one No. 703.624 .2313 Zip code: 33496 Fax: NA E.Mail:RONALLEMARSILIA@GMAIL.COM Phone No561.745.9591 Fill in fee simple Title Holder on next page ( if different E_Mai|ANDRE@AEMANDASSOCIATES.COM State or County License 1525027from the Owner listed above} lf value of constl.uction is 2500 or more, a RECORDED Notice of Commencement is required. lf value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required. Nctary PuO»c S`a`o of Floriaa Expil®. 06/11 /2022 iiiiiiiiiiiiiiEil SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable N a in e : summit c>EsiN a FORENsics iNc.Na. Ad d ress : 725 sE PORT sT LuciE BLvO suiTE 203 Address. city: pORTSTLlciE, state: FL City: State : zi p: 34984 phone 772.285.0572 Zip; Phone; FEE SIMPLE TITLE HOLDER: Not Applicable B0NDING COMPANY: Not Applicable Name:Name. A ress:Address. C,ty:City. p: Phone:Zip: phone: OWNER/ CONTRACTOR AF FIDVIT: 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. #LLccutcj;:#:n:t!:!:wi!i,,aowiteahpprype:iu:raniF:tL&g!h=ai|isgiars:tJj,!aota:tEn?,:oTn:trru#:a#:o#szi:te!d:gpo::a#n:;n;e3s!tgr:crht:8nSua#:r,i::ELSc:t#:p:r,#r[Ubi:usruech ln consideration of the granting of this requested permit,I do hereby agree thinaccordancewiththeapprovedplans,theFloridaBuildingCodesandSt.Luciat I will, in all respects, perform the workeCountyAmendments. The following buj ding permit ap plications are exempt from undergoing a full concurrencv review room additions, accessory structures, swlmming pools, fences, walls, signs, screen rooms and accessory uses to another nan-residenti.al use WApmNi#oGv::e°n¥¥:Ry:oYu°ruprrfoa;':ieyi°ARRCo°t::eaoNf°ct:C:°mfecn°c:#:nncte#::ttFeaYer:5:dLucieCountyandpostedonthejobsitebeforethefirstinspection.Ifyouinte,jAIithLenderoranattorneybeforecommencingworkorrecordingyo;¢¢NoticI:e:3t:naoTi:e:,#fic|eofComRTenceeforicrecords of St.ancing,consultment -ii_:-_:.,:,;`:,i-;,;.-,.,-----``-_;.-,i-<=::-:I-,;;;.- , SIS ature of owner/ Lessee/Corftractor as Agent for Owner Signature-of-Contracto.r/LicenseHolder €t;AUTNEToyFOFFLORg4.thcH.a STATE OF FLORIDACOUNTY OF a+ ` LuCJ` a faife:a:ylagf:::#e#Subscr:bn::n:e{:rt:rTz:t::n\,ngfx gLg#i:araylagf::£en±a;:{d=r'bedbeforemeofOnlineNotarizationvas02-iyAnc}rp_L=.in..c.hde_ r`rL\rfu Nracs`` \ `c* Name of person making statement.Name of person making statement. Personally Known ./ OR produced IdentificationPersonally Known\/' OR produced Identification Type of Identification Type of Identification Pro uced pr5d C, (Slgnatureg Notary Public-State of Florlda )Si natures Notary Public-State of -Florida ) comm|sslon Not;6 av` 'gq %¥¥: i!i%jjnffi¥;a,n:eA e(Jmmissio Nc66 i=iLl 9 227'99 i.€"ulTk. ¥%ag? ::&l;%,i:ate ol Flo"da REVIEWS FRONT -W,,ZONIG VEGETATloN •,-.i,. ''. iL 6/11/2022 P RVISOR PIANS COUNTER REVIEW REVIEW REVIEW REVIEW I REVIEW DATERECEIVED DATECOMPLETED ev-S16lTO