HomeMy WebLinkAboutBuilding permit package All APPLICABLE I FO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Z Z I
Permit Number:
S-L Lc F
L 4 € L :z Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce Ft 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: -1 l , W1�+fc bI !l.'� .rt.� Luu� C�- ^A7 L 3�Z
Property Tax ID#: 3402-605-0038-000-S Lot No. 15
Site Plan Name: Block No. 34
Project Name:
DETAILED DESCRIPTION OF WORK:
instail 500 ft of 6 ft and 144 ft of S ft white Durafence with 1-12' slide gate and 1:' e
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 Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:Cost of Construction: $ f �-�
2000 Utilities: — — ..�55 rrr'" fff Sewer Septic Building Height: .3
FAddreess:
ESSEE: CONTRACTOR:
orah Lundgren Name: (fit r0 e' '� G
4710 palmetto Dr Company: I eG
City: Saint Lucie county State: R Address: SL,,) ✓J?G -e
Zip Code: 33328 Fax: City: �S( Stater_
Phone No. Zip Code: Fax:
E-Mail: Phone No
Fill in fee simple Title Holder on next page if different E-Mail 23 a� ccC oM
from the Owner listed above) State or County License cU•7 5
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:
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name _
Address: Address:_
City: State: City: T State:
Zip: Rhone � Zip: Phone:
FEE SIMPLE TITLE FIOLDER: Not Applicable BONDING COMPAN Not Applicable
Name: 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 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 1 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 accessary 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 I nder or an attorney before commencing work or recording our Notice of Commencement.
5 na Ow L ee Contractor as Agent for Owner Si na VF
Contr. or License Holder
STATE OF FLORIDA STATEFLORIDA
COUNTY OF Q-T I i COUNTY OF_ rr,A17 T7N
5wor o for affirmed)and subscribed before me of Sworn or affirmed)and subscribed before me of
Physical Presence or Online Notarization _Physical Presence or Online Notarization
this (—day of /']A V fl-z'n24 this 42�!-day of /7Z14!1 by Zo 2r
:)A C (tFt-ii[AVcs 'I`LQ = N :).A C QU i* 4 k) PC-ct1 N #
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 DL. Produced ► t7L1
[Signature of Notary Public It };•lorida}FLORIDA KALLASHI {Signature of Notary Public-_ P1, Hota Pubilc•State or FloridaFLDAlDA>{AlLASFfI
Commission Na, `f b 5l 1� ' {5drak]mission r GG 4363z7 ommisslon Na.CfiCr' �.j ��'� SWtrof Flartdad ` +n Sion;GG 918317
q n my Comm.Expires Dec 4,202] °«
My COMM-Expires Dec 9,2023 i
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
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DATE
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