HomeMy WebLinkAboutRumas_Building Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date*
L;7_1
Permit Number;
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1S78
Commercial
PERMIT APPLICATION FOR: q\00 IQ�pl C(_LLnUjd_
Address: —Isa I �1�-12—it,C'�OC�� CAUL. 1:0ri
Residential
PropertyTaxlD#: I?Ja—O(— 0C) (S a 000
Site Plan Name:l,l.(71C.1-NS
Project Name: OU& �C)""F
DETAILED DESCRIPTION Of WORK-:
Lot No. a�+a
Block No. —
�l.a.cnove e_x�s-ti�lct rr�oRn4 ry)a-�--eric�.l CkOLC)n io mood c�.ec-I�. in6pec-Fj�
''+�x�.�U ( woad- ei.�e.�. �to trusses us+n.c� SD rinq shoa\w..k. rxcL:,\G-- 1ns-{-cell
el-v-adkL�er�d rbCT7 na LA�&trle�urnu�.�t-h� �en-+ire cood-. 1n6+CjLA1 nsAu Star
CCCt-tk aiSt��e- o n i re + v
New Electricaleter � Second Electrical Meter —
CONSTRUCTION INFORMATION:
Additional work to
be performed under
this permit— check all
that apply:
Mechanical
� Gas Tank
Y Gas Piping
_Shutters
Electric
Plumbing
Total Sq. Ft of ConstrUCtion: I CA
Cost of Construction: $ b�. 2: 20 . 00
OWNER/LESSEE:
Name
Address:
City:
_Sprinklers
Windows/Doors Pond
_Generator �RIP
ioof tch
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
State: a
Zip Code: S4qg-,� Fax:
Phone No.�f q _ �)6QU2 — 1 IC)75
E-Mail: ciD rm,
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR:
Name:
S
Company: X
Address: 1 I �3 sE for+ sal-. UkCA Al 32.
City:T(D1�"i- �z'� . �-l.�Cl � State: �-
Zip Code:3�57e Fax:
Phone N o �� a—�i"�"� "" L 4
E-Mail a-n&u oX K6LV-eAf-00t . C.-CM
State or County License
1 U 3 T�
If
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.
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do 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 representatian that is granting a permit will authorize the permit holder to build the subject structure
which is in cor�f[ict 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
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 lender or an attornev before commencing work or recording vour Notice of Commencement.
Signature of Owner/ lessee/Contractor as Agent for owner
STATE OF FLORIDA 9
COUNTY OF �l14n -l- -LLP-..,kP- (I� t A
n to (or affirmed) and subscribed before me of
w
Physical Presence or Online Notarization
thisday of _ (,&t,� , 2020 by
Name of person making statement.
Personally Known OR Produced identification
Type of Identification
Produced
t . .0 f /i �m
Signs:
{
re of C ntractor/License Holder
STATE OF FLORIDA
COUNTY OF
Sworn to (or affirmed] and subscribed before me of
Physical Presence or Online Notarization
this �� day of t I,fJA k , 202�lby
Name of person making sVc
Personally Known s 2._
Type of Identification
Produced
cement.
OR Produced Identification
(Signature of Notary Public- State o i' n re of Notary Public- State..-QfFrohda
y�'� Notary Public State 0 Fln!I
Alexis L. Reining �r NO ry Public State of Flon
Commission No.flA 119 { g�I y al t�nyCanmiseiorct�o-a s�dYnmi ion No."-- � I q.1s +Y S004sL.eeininy
eja E.xpirea 04/2412025 . My Commission HH I191B
�aa� Expires 04/20/2025
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED