HomeMy WebLinkAboutGreco Permit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTE 0%
Date:
v
1�)
Permit Number:
BuiOding Permit Application
Alartnfrtg and Development Services
Building and Code Regulation Division
2300 VIrginla Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
Commercial Residential
PROPOSED IMPROVEMENT LOCATION: /Jc+4AeS (3►U�
Address; _35
S Bt Vd n111,11,11,11,1111111111—*a
Property Tax ID 1
Site Plan Name:
Project Name:
DETAILED D ESCRI PTIGN OF WORK:
A
New Electrical Meter Second Electrical Meter
Additional work to
be performed under
this permit— check all
that apply.
�.KIlcchaniCaf
_was Tani<
Gas Piping
� Shutters
Electric
Plumbing
^Sprink I e rs
Total Sq. Ft of Construction: DIM. l � •
host of Construction: $ 0�� �
OWNER./LESSEE:
Name
Address:
City:
Zip Cod
Phone No.
Generator
Wounw-"
Lot Na.
Block No.
Winclows/Dciors Pond
Roof Pitch
Sq. fit. of first Floor:
Utilities: � Sewer Septic Building Height: -
E-Mail:
col! in fee simple Title Holder on next page ( if different
from the Owner Listed above)
CONTRACTOR.of
Name:P A MAn
"&?*Wl
Company: FtiWi&
Address: it " &P,--S%
City:
Zip Code
Phone No
E-Mail
State or Cou'n
License
If value
of
construction, is
2500 or more, a RECORDED Notice of Commencement is requireo9a
If value
of
kiAVC is $7,,500
or more, a RECORDED
Notice of Commencement is required.
Fax,
Stater
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:
FEE SIMPLE TITLE HOLDER.* _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
citv: F OWN~ 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. Lucfe County makes no representation that is granting a permit will authorize the permit holder to build the subject structurewhich is In cQnflict with and 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 fallowing building permit applications are exempt from undergoing a full cancurrency review; room additive,
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
�mpravements to your property. A Notice of Commencement must be recorded in the public records of fit.
Lucie County and pasted an the Jobsite before the first inspection. If you intend to obtain financing, consult
with lender or an attorn efare commencing work or recording your Notice of Commencement.
L __-
gnature of Own er%,�'�ssee/Cantracfiar as Agent for 0--w--
�er
STATE IF FLORIDA CI I. . __
COUNTY OF
Sworn to (or affirmed) and subs
P�I Prese ce or
this day of �
Name of person makings
Personally Known 0
Type of Identificatio
Produced rt) L,
wed before me of
Online Notarization
, 2020 by
mature oftrIctor/License Hoider
U
STATE OF FLORIDA
COUNTY Gluc
Swop�(or affirmed) and subscribed before me of
.7h I Pres e or Online Notarization
Gddlik
phis ay of � 202P by
end. �"Name of person making state
dosed Identification K Personally Known Y OR Produced Identification
Ty Pt� iificativn
"m
nProoducved____
(Signature of Notary Public- Stake o
Commission No
REVIEWS
DATE
RECEIVED
DATE
COMPLETED
!arid
NOWN public Staft of FICRide
� y s E f t ����3 Comm�24 ��aI U
F SUP
�Signature o�F`l�fliary %blic
Commission Not
OR PLANS
i REVIEW
VEGETATION
REVIEW
Notary Public Sta
Jones te Of Fkft
Of Expires 1
SEA TURTLE
REVIEW
MANGROVE
REVIEW