HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:A a o'L� Permit Number: a%a4-0
RECEIVED
1�o d��IlC iiA
APR 2 2 2021
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l� U_ Pwmitting Gapartment
Building Permit Application St. Lucie County
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:'(772)462-1553 Fax:(772)462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION;
Address: 7003 S INDIAN RIVER DR., FT PIERCE, FL 34982
Property Tax I D#: 341250200080001 Lot No.
Site Plan Name: Block No.
Project Name: FITZPATRICK DOCK
DETAILED DESCRIPTION OF WORK: .
n { r e �S+� �:b S
O Astiew �Jo l4�M
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION: _
Additional work to be performed under this permit—check all that ap ly:
_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:$ Utilities: _Sewer __Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name t I •i-r-na 4 rizk Name:CH;RIS RIENDEAU
Address:1003 S. 1~11Av, T tyC/' Qr. Company:IXTREME LECTRICAL SERVICES
City: j'.21 r'l reed State:tL Address:11101 S INDIAN RIVER DR
Zip Code: 3 Fax: City; FT PIIERCE State:FL
Phone No. & Zip Code: (34982 Fax: 772-353-5078
E-Mail:d&& ped- 'i 6Ik d Sdf C oh 4me -k .cart Phone N061-333-9519
Fill in fee simple Title Holder on next page(if different E-MailARIENDEAU@YMAIL.COM
from the Owner listed above) State or County License EC13005450
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: State:
Zip: Phone Zip: Phone:
I
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING!COMPANY: 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 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 c Incurrency 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 inspectjon. If you intend to obtain financing, consult
with lender or prattV
ne re commencing work or recordirovour Notice of Commencement.
� I
Sig ure of Ow r/ � ssee/Cont ctor as Agent for Owner si3Wure of Contractor/License Holder
STATE OF FLOD�/� STATE OF FLOR A
COUNTY OF II�Yl P11liG1 COUNTY OF '_t vv�'g-eil_&K
Sworn to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
physical Presenceor Online Notarization X� Physic I Presen a or Online Notarization
thfs�day of Eby this d y of 200 by
_ ' 1 7i I
Name of person making statement. Name of person making statement.
Personally Known Yj OR Produced Identification Personally Known OR Produced Identification
Type of Identifica n Type of Ideritificatio
Produce Produce
Y, _&L—_
(Sig ature f of - oIBRIZZI (Sig nature
_<r?'?�Bo'- ta+�ou KARENLIB IZZI
Commissi No. ' � �.*= MY COMMISSION#GG310635 ;�•..•..,.c '
° EXPIRE���)10,2023 Commissio No. MY COMMISSIOMf�23635
'?r....•o?= Public Underwriters
:o�c -EXPIRES:Jufy 10,20
,FOF ,.• BondedfiruNotary - F o
Borded ThN Notary Public Underwriters
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