HomeMy WebLinkAboutPERMIT APPLICATION MARSH TERRACEAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:U---� 1L'D 1-2�.DZ 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 ':��—� k,� C t L 3-dcI
PropertyTax ID#:�� �t��-1--L��J3`UCX�' 3 Lot No.
Site Plan Name: Block No.
Project Name:
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 r:Y�-�indows/Doors _ Pond
Electric _ Plumbing _ Sprinklers _ Generator Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $����J Utilities: —Sewer __ Septic Building Height:
W N ER/LESSEE: = CONTRACTOR:
Name\C.. 1L ,c .�1 ��
Name:
Address. -A SS Y'YYYSI^ fir(
Corn panr,3? C-arGt -OLN ryi,e--
City: Ps L State
Zip Code: '>�- &V Fax:
Address: C_4-
City: �J� Stater
Phone No.�aC�
Zip Code: G Ova Fax:
E-Mail:
Phone No I 1Z'
Fill in fee simple Title Holder on next page ( if different
E-Mail 1'fG� rccG�d,��✓cylue ���
State or CoJnty License
from the Owner listed above)
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.
s..;
DESIGNER/ENGINEER: _ Not Applicable
Name:
Address:
14 .k'',.
MORTGAGE COMP _Not Appli
Name:
able
Address,
Ci State:
ip: Phone:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: _Not Icable
Name:
Address:
BONDING COMPANY: _Not Applic
Name:
ble
Address:
City:
Zip: Phone:
City:
Zip: one:
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
structure. conflict
cconlsult nwith pyourHlome Owners Associa ion aO d rules,
ev ewyyour deed for any restrithat
t O s wh ch mayrict pro Iblt such
Y 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 u e
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 rec rds of St.
Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financir g, consult
_I__ _ �....4C ..... .. u� L, nr reirnrrlina vmir Nntire nf Commencement.
wltn ienuer ur au ar.r,vr i is .,Uu1 c . ul I II I—.......
-- - --
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIM
STATE OF FLORLDA
COUNTY OF �- G.e,
COUNTY OF
Sworn to (or affirmed) and subscribed before me of
qw9rn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this �� day of `� r � by
hysical Presence or Online Notarizatio
thisday of ��= �y ,3AIo by
�l
Name of person making statement.
Name of person making statement.
Personally Known
Personally Known
Type of Identification ap `11* Notary Public State of Flonda
Type of Identification �.►i' •4�. Notary Public State of
r«iaa
Ashley Del Toro
Produced
Produced Ashle Del Toro
'S'
rssion HH 052369
orr< Expires 10/11/2024
�+• Y a �swn HH 05
i«mod' Expires 10/11/2024
A.
369
(Signature of Notary Public- State of Florida)
(Signature of Notary —Public- State of Florida )
Commission No. (Seal)
Commission No. (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
R
VIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 5/b/ZU