HomeMy WebLinkAboutJOHN STAMM0
All APPLICABLE INFO MUSTBE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Fllannihg and Development Services
Building and Code Regulation Di4 1
vision
2300 Virginia Avenue, Fort Pierce FL 34982
Permit Number..
Building Permit Application
Commercial
Res*I
dent*1a
16 0
-
1578
Phoneo (772) 462-1553 Fax* (772) 462
PERK4 IT APPLICATION FORO. CT I? i P*
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New Electrical Meter Second Electrical Meter
Additional work to be performed
under this permit -check all that apply:
Iv,echanical Gas Tank
Gas Piping
Electroic
Total Sq. ,
Cost of Construction W
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i
Na
Spr*lnkler
Address:
City:
Zip Code
_ Shutters Windows/Doors
s Generator Roof
Stater
Pond
P*Itch
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Fax: �
Phone No.
E-w
a'l:
Fill in flee simple Title Holder on next page if different
from the owner listed above)
If value of construction is 2500 or more, a RECORDED Noti
If value of HAVC is $7,500 or more,, a RECORDED Notice of
Company:
Address., 101() i,•� UL
Zip Code
E-M fl
State or
3� �g a- Fax
SJ�
v
County License
ce of Commencement is required.
Commencement is required.
State: F1
0
Name:
Address:
City9
Zip: Phone:
Application is hereby made to obtain a permit to d
o the work and installation as indicated'.
nstallation has commenced prior to the issuance of a permit'.
.St. Lucie County maikesnorepresentaitioin that"s granting a permit will authorize the Perrnit holder to build the subject structure
;.,which is in conflict with anyapplicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consuk Asso
th your Home Owners ciation and review yo ur deed for any restrictions which may apply.
'In consideration of t
yin accordance with t
da Building Codes and St,, Lucie County Amendments.
The tonowing building permit applications are exempt from undereoin¢ a full concurrence reviews rnnm ar�riiti
8ccessory str
udures, swimming pools, fences, walls, signs,
ARMING TO OWNER:
i
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k r:' Not iiATMORTGAGE
•+r F.ram—
DESMNER/ENGINEER
¢ N ;r
V■`Y
y F� ,
Name:
Address:
City: State:
Zip: Phone
� k
7t
". ter} X.
_ .•J. ' } r J r. •!f K"'- - f •Li
F} jr 4f` _ yip F'�.'!3 •�JY .fir �- _ v -_s�j..
Not Applicable
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable
Name
Address:
City:
Zip: Phonet•
tJWNER/ CONTRACTOR AFFIDVIT
certify that no work or i
he granting of th1P
is requested permit, I do hereby agree that I will, in all respects, perform the work
he approved plans, the Flodi
mprove ents to you
Lucie Coun
with lenc'e
ons.,
screen rooms and accessory uses to another non-residential use
cur failure to Record a Notice of Commencement may result in paying twice for
r property. A Notice o Co
ence ent must be recorded in the public records of St.
ty and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
r or an attorney before commencing work or recording your Notientce of Commencem
Signa e of Owner/ Lessee/Co'ntrador as Aunt for Owner
STATE OF FLORIDA
COUNTY OF � _ �U �,� Aj�
Swor o (or affirmed) and subscribed before me of
Physical Presence (1) ine Notarization
= ___. I
this ..day,of �-1 A`f . 2024 by
� awes
Name of person making statement.,
Personally Known V OR Produced Identification
'•` Type of Identification
E.
Produced
n Notary Public- State of Florfdaiillllii A46A
)
#1
Com-mission
+
r,
F-9
REVIEWS FRONT
COUNTER
C. DATE
RECEIVED
ZONING
REVIEW
S��pry Public State of Ron
'�afgaret E Montepare
My Commission GG 21499
Expires 06105/2022
SUPERVISOR
REVIEW
Signatur"aof Contra cta�/Li�ense`�older
STATE OF FLORIDA
COUNTY OF
JT
4
CA
r
Swo o (or armed) and subscribed before me of
Physical Presence or Online Notarization
this day of , 2026 by
Name of person making statement.
Personally Known ✓ OR Produced'Identif! tion
Type of Identification
Produced
CQ / 0 (SI. natu of Notary Public- State of orida
�`�� � 1 V ? ` • "���rY public St t f Florida
CO mission NO.1
� �� ' Margaret E M n pare �
My Commission 214990 �
~4 � pires 06105/2 2 4
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
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