HomeMy WebLinkAboutGEORGE CRAIG PERMITAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: _5 ('2 5 ( 2tr_L_ Permit Number:
�o [LUC S
`� 46ww Building Permit Application
Planning and Development Services /V
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: 11y1 sr-etf-hc\tc Gc-
Property Tax ID #: 5322 - ,W - W(� ` Z Lot No
Site Plan NamE
Project Name:
DETAILED DESCRIPTION OF WORK:
New Electrical Meter Second Electrical Meter
M
i CONSTRUCTION INFORMATION: I
Additional work to be performed under this permit- check all that apply:
_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: $ qq Utilities: —Sewer —Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name & @ 0024
Address: 1� L (]�reEn kris Clc
City: �-- LyUe- State:il-
Zip Code: ;JXJQ NS Fax:
Phone No.
Name: 1(vc\1e\ 7—(a?, Z
Company: �S�C Shu
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Address:\f) N�j �Clk�k �c7Y1�2
�r
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City: t trrt S\. L-kX-' t
Zip Code: '5tAa8c9 Fax:
Phone No 23,7 - 7-01 - 9q I
�
State:
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-MailJu5w Chu' %t (5-
CO . C or)
State or County License 2y Z Q 3
it value of construction is 7-500 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: I Name:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: 'Not Applicable
Name:_
Address:
City:_
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 concurrency 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
improvemepts to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie Cournand posted on the jobsite before the first inspection. If u intend to obtain financing, consult
with leneor an attornev before commencing work or recording ydor Notice of Commencement.
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Signature of Ow r/ Lessee/Contract r as Agent for Owner
Sig&t of Contractor/License older
STATE OF FLORID
PVC\
STATE OF FLORIDA
LUCC � Q
COUNTY OF
COUNTY OF es{—
�Sw n to (or affirmed) and subscribed before me of
S�'(orj� to (or affirmed) and subscribed before me of
sical Presence or Online Notarization
physical Presence or Online Notarization
thisPh
day of 2024 by
T-
this day of 202� by
Za7 o\
ZG 7_Pk1
Name of person making statement.
Name of person making statement.
Perso Ily Known OR Produced Identification
Personally own OR Produced Identification
Ty f Identification
Type of I entification
Pr d
Produce
(Sig e o Notary Public- State of Florida l
YSSA A.T. BOWSER
(Si ature of Notary Public- State of Florida )
,r e A
° GG 295930
Commission No.�i fission#
' Sg3V . `�A (Seal 28, 2023
Commission No% ,' r1 S�Ct3U •,"` 'U�<< (SeAQSSA A•T. BOWSER
C c%
Cx�es January
Bonded Thru Budget Notary Services
,, Commiss;on # GG 295930
tj, F
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
�T„•
FOr E'Q Bond
SEA TURTLE
ty 28,2023
d Thru Bud of Nota S ices
MAf�GO
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 5/6/20