HomeMy WebLinkAbout213 OLIVE AVE PERMIT APPLICATIONAll 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 Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: 213 Olive Ave Port St. Lucie, FL 34952
Property Tax ID #: 3419-510-0273-000-5
Site Plan Name:
Project Name: t 3 01 1vc-- Au
DETAILED DESCRIPTION OF WORK:
Re -Roof 4" ral o I) ►i A �\ :i`- I,:) ,
— rvv 1=
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: y,3 ."q3
Cost of Construction: $ —12, 00<Z�)
Generator
Sq. Ft. of First Floor:
Lot No.
Block No.
Windows/Doors Pond
)L Roof �5' � )- Pitch
Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Anna Rizzi
Name: Adam Frazier Smith
Address: 213 Olive Ave
Company: Frazier Contracting
City: Port St. Lucie State: Wit.
Zip Code: 34952 Fax:
Phone No. 772-418-6131
Address:720 Maitland Ave
City: Altamonte Springs State: FL
Zip Code: 32701 Fax:
phone No 407-796-1157
E-Mail: Sepiadancer@gmail.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail Adam@fraziercontracting.com
State or County License CM 332478
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:
Address:
City: State:
City: State:
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 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 Horne 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 our Notice of Commencement.
Signature of O ner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Hofder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF =�
COUNTY OF Oronq:�!. _
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
jX Physical Presence or Online Notarization
_C?(,._ Physical Presence or Online Notarization
this _23 day of JL_r12_ 202V by
this -,)-3 day of ��7� , 2021 by
ff
Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification_
Personally Known _X OR Produced Identification
Type of Identification
Type of Identification
Produced Cirw4vi I o-enk—
Produced
LINAMARIAGOMEZ
(signature offAlotary Public- 'Florid
(Signature of N nary Public- 5ta Igrid�ojnnission#HH076897
* * Commission # HH 076897
Commission No. 41 o 6 m o� January
y� c� Expires January 4, 2025
Commission No. IAMCR6Sg9 FoFRp� � ¢ rBudgetNotary &r'ices
pFF�oQ� Bonded Thru Budget Notary Services
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