HomeMy WebLinkAboutdelgado permitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: [21 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: 401 OLIEAIPPER AUE
Property Tax ID #: _ LI I44 $ Lot
Site Plan Name: _DEL cr Ro6 Block No.
Project Name: E7'LUpp6
DETAILED DESCRIPTION OF WORK.
REM�,I^ Exit t'T1�lr�
Rarer S�� � r m � �w � E�1� 1R r N L
ZilyS�igt.L_ Sa'14r1�i �C7 :5278 l i'I'1E"T _ ao'" 76 C_0Q on K.a
New Electrical Meter Second Electrical Meter moo 6T" T
(Affidavit required)
Roo
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 5111 t�j.Z Pitch
Total Sq. Ft of Construction: 3p 31 Sq. Ft. of First Floor: 3a 3
Cost of Construction: $ ce CEO Utilities: _ Sewer _Septic Building Height: {�
OWNER/LESSEE: LESSEE:
CONTRACTOR:
Name MARX8 0ELGACL-3
Name: LLMS
Address:__ 1Ipt NE 1= fFNDFit A0F_
City: NL State: fC
Zip Code: _ u!45 2 Fax:
Phone No.
Company: & y )o Roo r r.
Address:
City: 1pr3lRT State: i=L
Zip Code: 31-I4 U ,S Fax:
Phone No -7721-1-144& q— I I 54
E-Mail:
Fill in fee simple Title Holder on next page { if different
from the Owner listed above)
E-Mail Fb ® R60FW 131Z Q A'TN)0 OOv►'1
State or County License CC-C i_3 7�.iUl7D
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.
DESIGNER/ENGINEER: of Applicable
Name:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
city: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: t Applicable
Name:
BONDING COMPANY: t Applicable
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
�-.- i v 1 nr 1 un mrriwv1 i ; Appitcacion is nereby 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 of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLOR1 j /
COUNTY OF ..
Swo o (or affirmed) subscribed before me of 4ysical Presence or Online Notarization
this day of _� by
Name of person making statement.
Personally Known Yf OR Produced Identification
TYPS,Q- `cation Produced
State
Commission No. (Seal)
REVIEWS FRONT ZONING
COUNTER REVIEW
RECEIVED
COMPLETED
KATHERINE HAVENS
C f MY COMMISSION #GG165030
EXPiRES: DEC 04, 2021
Bonded through i st State Insurance
SUPERVISOR PLANS I VEGETATION I SEA TURTLE MANGROVE
REVIEW REVIEW REVIEW REVIEW REVIEW