HomeMy WebLinkAboutPermit Application 3281 S US Hwy 1All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:Permit Number:
Building Permit Application
Vv
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address:3ABFI SUS High /
Commercial Residential
a electrical outlets added.
Fort Prerce
Property Tax ID #:Pe,YA?-Gol-0049 _-C10-O Lot No.
Site Plan Name:Block No.
Project Name:L£igins trim -adittional outlets
?DETAILED DESCRIPTION OF WORK
bo iden
le ace adding a
2Dao volt.
Second Electrical Meter
The addres
5 (3224).
inside Js aw
New Electrical Meter
?CONSTRUCTION INFORMATION:
avllets-outside
247 ->+he adres of the Ges
iS a to ve te:
(Affidavit required)
Additional work to be performed under this permit ?check all that apply:
__Mechanical __Gas Tank __Gas Piping
___Electric ___Plumbing __Sprinklers
Total Sq.Ft of Construction:
Cost of Construction:$qs?2.
|OWNER/LESSEE:
Name_E\g ldipe
Address:SUiy Fort Precce Biud
City:Fort Perce State:FL
Zip Code:4G \Fax:_??
Phone No.172.ale ~ouUtv
E-Mail:
Fill in fee simple Title Holder on next page(if different
from the Owner listed above)
Utilities:
__Shutters ___Windows/Doors
___Generator ____Roof
Sq.Ft.of First Floor:
__Sewer __Septic Building Height:
_|CONTRACTOR:|
Name:ie.Ye ?Di mrnner Man
Address;12°97 SW Biltmore St-
City:__Port St Lucie State:_FC
Zip Code:SO4U 33 Faxs_
PhoneNo_179-785 -9139 D0.y )792-342-S2yS2y4e¢
E-Mail beah-ces @ Gmail:com
State or County License__Ec 13009437
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:Zip:
FEE SIMPLE TITLE HOLDER:__Not Applicable BONDING COMPANY:__Not Applicable
Name:Name:
Address:Address:
City:City:
Zip:Zip:
OWNER/CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permit to do the work and installation as indicated.
|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,|do hereby agree that |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 undergoinga 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 oan attorney before commencing work or recording your Notice of Commencement.
Signature of Owner/Lessee/Contractor as Agent for Owner
STATE OF FLORIDACOUNTYOF ST LUCIE
Sworn tofer affirmed)and subscribed before me of x Physical Presence or Online Notarization
this4olt
INE Zim
Name of person making statement.
ay of 20x/by
Personally Known OR Prdduced Identification
(Signature of Notary/Pub lic-State of Florida)
ic State of FloridaynNotaryPublic
J.Simone£e.Hi cemmission GG 887803
o «Mi
~ires 05/16/2024aeC2Expire
REVIEWS FRONT ZONING SUPERVISOR |PLANS |VEGETATION |SEATURTLE |MANGROVE
COUNTER |REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
eeceen |potRECEIVED
Commission No.(Seal)
DATE
COMPLETED
Rev 0