HomeMy WebLinkAboutLinda Pyatt permit appAll APPLICABLE INFO Ml.1ST BE COMPLETED FOR APPLICATION To 13E ACCEPTED
Date:
Permit Number:
•. is
rJYt .
-' .4� /.fit `"'•4...`•ti.�. i..
Planning
and Development Services Building
Building and Code Regulation Division
3a9f32 commercial Residential23Do Virginia Avenue, Fort Pierce FL--�.-�--- -
Phone: (772) 462-1553 Fax: (772) 462-1578
Q�Rn4IT A )I f/"" A —T' Ior% a.e R
Project Name• C^`�]At),, Block No.
47 S`��>l �S 19 PN-
a �\ G
ki Ak
ACW
` .
New Electrical Meter l .
.-.�..�.� S eco n d F I e
rtrical Meter
Additional work to be performed
_Mechanical
— Electric
_® Gas Tank
Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $
NameI VnC
— Sprinklers
generator— Roof Pitch
Sq. Ft. of First Floor:
Utilities: __ Sewer Septic
Address: �� --
City:
Z i p Code: Lt cis' - ---__
ax,
Phone No.�.- �a.
Fill in fee simple Title H. er on n
ext page ( if different
from the Owner listed above
Building Height -
Name:
Compan � -- --- _
Address: � Nm�
7 . . .......... ............ . .................
City:
state ,
ZiPCode.: S 5
Fix:
Phone No �e� ----�----__- �._.
E-Mail
State or County license In ct n
value. of construction is 2SA4 or mare
value Of HA1iC is 7 50 ► a RECORDED Notice of e Of �ommCOrnmencement is required---------�___tl___--------
$ 0 or more, a RECORDED Notice .
encernent is required.
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'U' ""N' LAW""I"NE
V.
DESIGNER/ENGINEER: mot A licabl
_.__..�.a p p �M
Na me:
Address:
City : �� _ State
__ .
Zip: Phane
FEE SIMPLE TITLE HOLDER: -- •r'Not Applicable
Name:
Address:
City.. - _ ---
Zip: Phone:
ORTGAGE COMPANY:
Name:
Address:
Not Applicable
City: State. m
i�� thane.
BONDING COMPANY: b Not Applicable
Name:
Address: city.
Zip • Phone:--.,.- �-�------ - --
OWNER
CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do t
I certify that no work or installation has commenced prior to p he work and installation as indicated.
P the issuance of a permit,
St, Lucie Count makes no representation that is granting a permit will authorize the permit
which is in conflict with an applicable � p r nst holder to build the subject structure
structure. Please consult any
ur Home Owners Association rules, bylaws or and covenants that may restrict or prohibit u y Nome Owners Association and review your deed for any restrictions which may apply,
such
Inconsideration of the granting of this requested permit, I d y
in accordance with the a q P o hereby agree that I will, in all respects, perform the work
approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full cone .a
6 g � rrency review. room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and or accessuses to ono
Y ther d
non-resent!al use
WARNING TO OWNER: Your failure to Record a Notice of Ca •
improvements to your property, A Notice of Co Commencement may result in paying twice for
Lucie County and Y Commencement must be recorded in the public records of St.
y posted On the jobsite before the first inspection. If intend ntend to
wit er or an a before carnmenci y obtain financing, consult
Ycommencing work or recording our N c of Commencement..
<1 �1 --
Sigftof Owner/ Le see/Co actor as Agent for Owner
STATE OF FLORIDA
COUNTY OFF
Swor o (or affirmed) and subscribed before me. of
Physical Presence or Online Notarization
this ��day 0f � --
_. 2020 by
Vit
Name of person making sa�-e'ment.
Personally Known � OR Produced Identification
Type of Identification -
f
Sena No ublic- State f F LprJd a 1\1 WATTS
. .
Commission No
®> My COMMISSION #HH 431
a 1) EXPIRES: SEP 16, 2024
Bonded through 1 st State Insure
REVIEWS FRONT ZONING SUPERVISOR UPERVISOR
R REVIEW REVIEW
DATE
RECEIVED
-4
DATE ---
COMPLETED
ev. I6777T- __-
Sign-'�ttife of Contractor icense alder
STATE OF FLORIDA �x
COUNTY OF {'
SwornYto (or affirmed) and subscribed before me of
111
—e Physical Presence or � Online Notarization
this � `'�
stay of I �` F f 6' 202� by
•mom y" ',� � � jys,,
Name of person making s t a t 61W ent.
Personally Known aR Produced Identificat ion
fype of IdE�ntification
Prod'O ed
i���nat e o ry Public State of orl a - T
'3 H. ANNON WATTS
Commission No„1,43
y COMMISSION #HH 4,
I� EXPIRES. SEP 16, 202
Bonded through 1st State Insu
PLANS VEGETATION SEA TURTLE MANGROVE
REVIEW REVIEW
REVIEW REVIEW