HomeMy WebLinkAboutLEE BREWSTER PANELAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date
1aoa�
Planning and Development Services
Permit Number**
Building Permit Application
Building and Code Regulation Division Co m mercisi nesiue� �ua�
2300 Virginia Avenu
e, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax. (772) 462-1578
ddress
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Property Tax I D #:
S
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..Block No
tr�C
Lot No._
Plan
ite Name: _
Project Name: --
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New Ele rical Meter Second Electr*lcal Meter.-
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Additional work to be performed
l
Mechanics
Electric
under this permit— check all that apply:
Gas Tank
.9
_Gas Piping
Windows/Doors
Pond
Roof P@Itch
Total Sq. Ft of Const
\,A G utailiFtoiesl.
Septic
Building
1
Heights,
Cost of Construct'
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t
Ott Name.
Name
-S
Mob
Address,,Cowpa nye."_ CL.
Uj
C i date.AAdress,. C�
Zip Cede
Phone No.
3�lgg\
Plumbing
"k%
Fax
Fill in fee simple Title Holder
from the Owner listed above
■
Sprinklers
u� • �e
on next page if different
Shutters
Generator
P I eyre"
Zip Code:
Phone No q ta 1$;
statew F,•
Fax: '1'1 a- LA 61 L &�g5
E-Mail �Qt`lleS C�10.�-��c,�. Q&> (Y411�
State or County License. �.0 ZOO1(o4
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
If value of HAVC is $7,500 o r mo re, a RECORDED (Notice o f Commencement is required
E TALC .
DESIGNER/ENGINEER:
N a e,,
Addre.
�„TION LI E-.-1
Not Appil
LITY!r State:
ZIp: Phone
S :
cable
FEE SIMPLE TITLE HOLDER: _Nat Applicable
Name:
Address:
City:
Zip: Phone:
.......... .
MORTGAGE COMPANY: _Not Applicable
Name:
Address:
City: State:
Zip; Phone:
BONDING COMPANY:
Name:
Address:
City:
___
Zip:
Phone:
_Not Applicable
OWNER/ CONTRACTOR AFFIDVIT40F Application is herebymaceto OD'Ealtl a Nei[ II,L. <V..W
the work and installation as indicated.
certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that isgranting a permit will authorizelthe
dpermit
oholder
tat build
rstructure
i'uh
which is in conflict with anY a pplicable Home Owners Association rules,
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
Inconsideration 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 concurrercy review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residentia'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 reccrded in the pub1 4
lic records o
Lucie County aan posted
n the commencing
obsite the rst or recording If
U intend to o.. ain
of Comm encementht f 1 n a n c I i g�
with lender
Signature of Owne
essee/Contractor as
STATE OF FLORIDA
COUNTY OF
ant for Owner
Swor
to (or affirmed) and subscribed before me of
Phys.0
ical Presence or Online Notarization
this _ � day of N0.� , 2026 by
Name of person making statement.
Personally Known v OR Produced Identification
Type of Identification
Produced
lie Ix
(Signature of Notary Public- S
Commission No*SGQ%'AR'
'l
REVIEWS FRONT
COUNTER
D A E�
REC."EIVED
DATE
CO V P LETE D
ev. 5/6M -----
�o F i
.+n ►�y Notary Public Staft Of Fbitt�
Garet E MontePw()
My Commission GG 214990
C* H� Expires o6ioW2022
ZONING
REVIEW
SUPERVISOR
REVIEW
Signature or
tractor/License Molder
STATE OF FLORIDA
COUNTY OF
Swor to (or affirmed) and subscribed before me of
MMMEEEEEMMMAW� Physical Presence or Online Notarization
this a-t day of f--1Pr'y , 2026 by
WEANP�
y N we. L
Name of person making sta. ement.
Personally Known � OR Produced Identification
Type of Identification
r%
Produced
ignatgre of Notary Public- S
C4mission No,, C1W1Ga1q(1L6
PLANS
REVI EW
VEGETATION
REVIEW
9. A.. - W. � �
f St.
consult
Notary PublicState of Florid
(Iopf;
rret EMontepare
(!;hyrxplres
`Cbtnmission GG 21498c
O6/05J2022
SEA'T U RTLE
REVIEW
MANGROVE
REVIEW