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HomeMy WebLinkAboutWETMILLER-PERMIT APPLAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEFfED Dates_I_�_�► Iz �- Permit Number: Building Permit Application - Planning and DevelopmentServkcs Building and Code-Reguladon Dlvfxfan 2100 Virginia Avenue, fort Plem'e FL 34982 Phone: (772) 462-1553 Fax. (772) 462-1578 Commercial PERMITTYPE: W Address:. Property Tax ID Ih `A II Site Plan Marne• C 1 1 -,2LA-3-{7D1 O - b©n--(-9 .1 Project Name: L c l�J-�k I1-tN In'() u v& d LXI—. k-0 Vc_ Residential Lot No. Block No. �' ' +" Ml }' '► Additional work to be performed under this permit— check all that gpply- _Mechanical . Tank s Piping _ Shutters _Windows/Doors _ Electric — Plumbing ,_ Sprinklers , . Generator —Roof _,_„_._.Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: 'Cost of Construction: $ Utilities: _Sewer _Septic Building Height. - Name ✓ c_ L12t--tYV1 ► I Vc[ Address:+ — City _ 1"" I UV Zip Code; Code; 3 4Ir- 1 Fax; Phone No. 'Y\ 1. E-Mail:_!,_ -ems-!�--iryZn� i\ C In v��. L ( Fill In fee simple Title Holder on next page (if different from the owner listed above) Name. -Larry Licastri Company:AmeriGas Address•3301 Oleander Avenue City: Fort Pierce State, FL Zip Code: 34982 Fax. 772-465-8448 one Np772-633-0740 E-Mail Amer!Gas-7282@emerigas.com State or County Uceme02707/28539 If value of constriction Is t2S00 or more, a RE-CORD61) Notice of Commencement is required. it value of HVAC is $7,500 or more, a RECORDED Notice of Commencement Is required. DESIGNER/ENGINEER: —Nut Applicable Name: Address: City: State: Zip: Phone FEE SIMPLE 'TITLE HOLDER: _ Not Applicable Name: Address: City: ZIP: —__ Phone; MORTGAGE COMPANY: Not Applicable Name: Address: City: State: Zip• Phone: BONDING COMPANY: _Not Applicable Name*_ Address: City: Zip:Phone* OWNER/ CONTiiiAL OR AFFIDVIT. Appiicatian is hereby made to obtain a permit to de the work and instaiiatlon as Indicated. I certify that not work or Installation has commenced prior to the Issuance of a permit. St. Lucia Count�yy makes no repre� entation that Is granting a ppearrmit will authorize the ermit holder to build the subject structure ufilch IS In corifllct with any pplfca6le Nome Owners Assoc atkirt rules, hytawsdar and covenants that may, grict or prohibit such structure. Please consvft uliii t yaw Berne owners -Association and review your eed far any restrictions whI 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 BuUding Codes and St. Lucie County Amendments. The following building permit applimtions are exempt from undergoing a fuA corumrrency review: room additions, accessory structures, swimming pools, fences, avails, signs, screen rooms and accessory uses to another non-residential use WARNING TO, OWNER: Your failure to Racord a Notice of Commenceme result In your paying twice for improu�m nts roperty. A Notice of Commence t m , recor and posted on the )obsite b o the s Inspect o if You intend to obtain financi consu t tth lender r an attorney before as STATE OM COUNTY OF The a�gving Instrument was acknoMrledgbeiore me this day of Name oflersan nvMng statement Personally Known OR Produced Identification Type of Identification Of COUNTY OF The fjorgoing Instr ment was acknowletlaW before me this day of . N. a0 vlby I. j Name o er!!!!. ,eking statement Personally Known OR Produced Identification Tvoe of Identification — rraoucea 5� L,, KRISTIE KIRBY "" ,gt KRISTI IKE R -Notary Public -State of Flori a _* Notary Public -State o •_ Commission # GG 925370,� Commission # GG c ?'Ay Commission Expires ''', o.nd''4�- my Co (Signatu No P gnatur of Hats l Public- ctober Z3. 20, Commission No. (Seal) Commission No. (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION FNICTLE UMANGROVECOUNTER REVIEW REVIEW REVIEW REVIEW — _ REVIEW Rev 70 s