HomeMy WebLinkAboutBuilding Permit Application - 2420 Tamarind DriveAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ,(2.9121 Permit Number:
Building Permit Application
Planning and Development Services
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: O l um bi n
PROPOSED IMPROVEMENT LOCATION:
Address
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Property Tax ID#: IL43(p [Do(— 000q— oco's Lot No.�
Site Plan Name: ( It V91 Block No.
Project Name: 1Val
I DETAILED DESCRIPTION OF WORK: i
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 ✓Plumbing _ Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ L.J 0. 0()
Generator
Sq. Ft. of First Floor:
Windows/Doors _ Pond
Roof Pitch
Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name
Name: ie
Address: '-A,30 TOM a
City: ``�����ii Stater
Zip Code: ' 7--�g4CJ Fax:"I—IZ-�Jq,6`q (q i
Phone No. -1 �'I Z rJ�� (q
E-mail: K1C Ci'Y��I'1'I" i'te�s
Company: (k wintractor a 8 nC
Address
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City: t t ff-A'p-f
eQ+ Lj I Cje Sta��t))ett:��-7
ode:��Fax: �(� �L'1 ) ;"[ �q iI
4Pi-,Dor(,'
No �r
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail G
State or County License
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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
Name:
Address:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone
City: _ State:
Zip: _ Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: Not Applicable
Name:
Address:
Address:
City:
Zip: Phone:
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
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 your Notice of Commencement.
Signature o wner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA �� � �� Gi�
COUNTY OF
Sworn to (or affirmed) and subscribed before me of
Physical Pres nce r Online Notarization
this day of 2024 by
Name of person making statement.
Personally Known V OR Produced Identification
Type of Identification
Produced
WIWA&ChGtt�u�
(Signature of Notary Public- State of Florida )
Commission No. AUBREY 09W&E HARTFORD
i; Notary Pubiic-State of Florida
Commission # GG 352149
Signature of Co ractor/License Holder
STATE OF FLORID
COUNTY OF t,.
( (AU el
Sworn to (or affirmed) and subscribed before me of
Ph sical Presence or Online Notarization
this 14 day of � I] _nC_ 2024 by
bI FrLtP'1(',OE
Name of person making statement.
Personally Known '/ OR Produced Identification
Type of Identification
Produced
V
(Signature ck Notary Public- State of Florida )
Commission No. _ ��������. UBREY N��11HARTFORD
*�Notary Public -State of Florida
* Commission # GG 352149
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