HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date
Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercia I Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR'.P�UMbing
PROPOSED IMPROVEMENT LOCATION
Address: 9160 Pumpkin Ridge Rd
Property Tax ID #: 3322-505-0024-000-2
Site Plan Name:
Project Name: Caradelli
DETAILED DESCRIPTION OF WORK:
Install New Shower pan
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit — check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters
Electric X Plumbing _ Sprinklers _ Generator
Total Sq. Ft of Construction:
Cost of Construction: $ U� 0y
OWNER/LESSEE:
Name r&/)
Address:L V OY'U17/��'
City:41-/C-/ State:
Zip Code: 3`f i f67 Fax:
Phone No. 7 T — 41 f "l 0 5-2/
Sq. Ft. of First Floor:
Lot No.15
Block No.
Windows/Doors — Pond
Roof Pitch
Utilities: —Sewer _Septic Building Height:
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR:
Name: 1 ' V L LLL 1""% 'l,✓�'
Company: i� j9/3 /" l U�3i/7iJ�/ (> /V
Address:
City: � state: �
Zip Code:/ Fax:
Phone Nod
E-Mail Cl d 61'rY7 v70 U
State or County License
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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
_ Not Applicable
MORTGAGE COMPANY:
_ Not Applicable
Name:
Name:
Address:
State:
Address:
City:
State:
City:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
_ Not Applicable
BONDING COMPANY:
_,Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit tv uU LHE W01 N a, U ��G„��,�„ �� •••- •- ___.
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
structure. Please consult with your Owners Association andtion review your deed for any restrict that
which may aprohibit such
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 attorney before commencing work or recording our Notice of Commencement.
/ 4.
Sig ture of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORA
COUNTY OF
Sworn to (or affirmed) and subscribed before me of
thisPh sical Prese�ncc orOnline Notarization
day of 'j u - 202 f by
CAM �
Naryfe of person making statement.
Personally Known
Type of Identifical
Produced i
of
Commission No.
REVIEWS
DATE
RECEIVED
DATE
COMPLETED
STATE OF FLORID
COUNTY OF�u�i�/� I
Sworn to (or affirmed) and subscribed before me of
y"Phy ical Presence Online Notarization
this L day of �' L�— 2021 y
o//�Wa' 6" - - . I I
Name of person making sta�gment.
Identification Personally
Type of 10
,;�... 7'aRYN 3OCKER
Ate-- R IatioIt3Lg o` F•c
cation a "o`: Corr.rT o� q HH 025:.
M Coma. Cx:ires Noy 2'.
OF F� y
on d through National NOU
ar P e eta �o). state of Florida (Signatur of otary ublic- to of Florida )
ommissior # HH 025227
s Nov2t, 2024 (Seal)
•or yCommr.g66i Commission No.�
onded through National Notary Assn.
FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW