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HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number 97'. I l�1(Zo� un s \ RECEIVED - MAR fl 2021 BuildingPermit Application pp Permitting De artment Planning and Development Services 6t, wglp aunt'y Building and Code Regulation Division Commercial Residential 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1579 PERMIT APPLICATION FOR: ,mow CCn&4-rLt_-f-1br)' a c) PROPOSED IMPROVEMENT�LOCATION:_ Address: � L a--cv— A�,( > 11 Property Tax ID #: ) 3 01 - la d7 - OQ� �_©� ✓r Lot No. 06k Site Plan Name: Lakewood Park Block No. 2 ProjectName: wjH F !; DETAILED DESCRIPTION OF WORK: 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 may%utters _/Windows/Doors Pond lectric Plumbing _ Sprinklers V_ Generator v �oof Pitch Total Sq. Ft of Construction: r� Sq. Ft. of First Floor: (a 50 Cost of Construction: $ I) V t J�� Utilities:; _Sewer eptic Building Height: SI OWNER/LESSEE: CONTRACTOR: Name W.IH.F I Name: Moreyoogle Company: wJHFLLLC Address:3091GovemorsLake DrSuite 200 City: N.r M, State: GA Address:. 3091 G°vemars Lake Or suite 200 Zip Code: 3 71 Fax: NA City:_ Navas State: GA Phone No._ (321)270-5629 _ Zip Code: 30071 Fax: NA E-Mall: HeathecDahtin@CenturyCom(nunities.can Phone NO .(32t:270-titilY Fill in fee simple Title Holder on next page ( if different E-Mail HeathrsDah0nmlCanWrvCammunliMs.wm State or County License CGC1517450_ from the Owner listed above) ff 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: niwwn&'Ruio Name: Address: 300 Brookside -Aye Address: City: Ambler State: PA City: State: - Zip:. 19002 Phone (jfsas=anni Zip: Pho e:_ 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. Counttyy makes no representatlon that is granting,a permit wlll authdriiathe permit holder to build the subjeetstructure which is. in _cori7ict with any appllcable l-I me 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 concurrency review: room additions, accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use WARNING TO OW—NER: 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 lenderbr an attornev before commencinE work or recordine your Notice of Commencement. Sigriatur _ _ w�ner/gssee/Contractor as Agent for Owner Holder =- ST IDA SRID COUNTYOFtractor,/License �Y"�c�(�rt3I OF 019 COrnto SW en to (or affirmed) and subscribed before me of Swoor affirmed) and subscribed before me of Notarization Pbv&'cal Prese�nce o�r, Online Notarization ycal Presence or Online this _ d�y ofi zoz� by thisay of P� . zozi by rYl cam, iDn U""P� m Q"-'rJ l 001 f) Name of person` akin ate nt. Name of person m atem Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identification Prodduce�d� � �Produced- (Signature of Notary' Public- State of Florida) (Signature of Notary Public- State of Florida ) Commission No. L~f oa01 o� ® (Seal) Commission No. fj , 0 10 (Seal) REVIEWS T ro DWPE ISOR PLANS V L&P 65iAnQ 1@iirkfH N OVE REV W REVIEW P.WWOR4 REVI DATE RECEIVED DATE COMPLETED Kev: W5720