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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APIQCATION TO BE ACCEPTED Date: 05-05-2021 `/U� CFiVFO Permit Number: 2 OR S' I� L-CI�::I Sp"CJ��Z�Z' RECEIVED �� r ermift. lot Rk L c c. Building Permit A lication JUL 2 2021 pp Planning and De velopment Services St.Lucia County Permltting Building and Code Regulation Division Commercial YES Residential 2300 Virginia Avenue,Fort Pierce FL 34982 Phone:(772)462-1553 Fax:(772)462-1578 PERMIT APPLICATION FOR: PROPOSED IMPROVEMENT LOCATION: Address: 4343 US Hwy 1 Ft. Pierce, FL 34946 Property Tax ID#: 14-20-141-0003-0008 Lot No. Site Plan Name: Block No. r Project Name: PAC,?— DETAILED `DES/(C�RIPTION[OF WORK: [' c 1 / A I�k7i1 6 WOA to t p=',ycc4 'len"., IEPoen � NJ Currier c� `P.�C'.S1�n biJi`a �c 7`©-V4 So4'rh fo;J r' pe-WeA:-, IiAe 2)&- 6 (IOQI �7{T yS'71�S1V 'f% 2''�+1 e.,;A Sr-e bl�)�i PS 6, ni 70 suA !ye-el no-pttly /1 , 01 I��t C..Acl. p 8vits i.VA RLCSC y'i �� :�' 'rsnee We5�r tv i l 940V'F 12 ro New Electrical Meter Second E ectrical Meter �f)�"'i�iiWtk� 3Xto 6�V ki — -- aroo:.g V1ampS�a: w(2 CONSTRUCTION INFORMATION: Additional work to be performed under this permit—check all that apply: _Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors _Pond Electric _Plumbing _Sprinklers _Generator _Roof Pitch Total Sq. Ft of Construction: 30(o L.frf Sq. Ft.of First Floor: I11� Cost of Construction: $ Utilities: —Sewer _Septic Building Height: OWNER/LESSEE: CONTRACTOR: NameSusan and Baruch Carmelli Name:Michael Slayton Address:2507 N.Ocean Drive Company:Slayton Construction Corp City: Ft Pierce State:_ Address:605 SW Park St Zip Code: 34949 Fax: City: Okeechobee State:FL Phone No.516-641-7795 Zip Code: 34973 Fax: E-Mail:ourcastledream@gmail.com Phone No540-447-4297(Rodney) Fill in fee simple Title Holder on next page(if different E-Mail RSoulsbyii@gmail.com from the Owner listed above) State or County License State Cert. Building Contractor G iLS"I M1 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 TITLEHOLDER: _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 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 our Notice of Commencement. Ignature of Owner/Le a Agent for Owner Signature of Contr t se Ho er STATE OF FLORID STATE OF FL 1DA COUNTY OF COUNTY OF Swor,�1 to(or affirmed)and subscribed before me of Sworpto(or affirmed)and subscribed before me of dPhysical Pres nce or Online Notarization 1/P stcal Prese ce o Online Notarization thistay of 2020 by this: of 020 by gl r7.km Name of person making statement. Name of pe son making statement. Personally Known 1� OR Produced Identification Personally Known %000e' OR Produced Identification Type of Identification Type of Identification Produced Produced (Signs a of dotary P blic- tate of Flo Sri— otary P .►>'�•ty Notary Public tate of Florida ow Notary Public State of Florida 4P �; Samuel J Vu ;� Samuel a Commission No. a ion o. c. ; My commissio1 My Com W1101, G 909871 Expires 09/03l 023 ti Expires 09/03/2023 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev.