HomeMy WebLinkAboutGraviee Bldg APpAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
innrA_".
Planning and Development Services
Permit Number:
Building Permit Application
Building and Code Regulation Division C I
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
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Residential
PERMIT APPLICATION FOR:
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Address: 2050 North King HW Ft Pierce Florida 34951
Property Tax ID #:13313-3-11_ 03-000-9 Lot No.
Site Plan Name: Rio Citrus Inc Block No.
Project Name: Rio Citrus Inc
New Electrical Meter
Second Electrical Meter
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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:
_110
Cost of Construction: $ 13r 9 $7 •'77
Sq. Ft. of First Floor: _
Utilities: _Sewer Septic
Building Height: lZ`
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Name Rio Citrus Inc
Address:7689 c; Pnln (-,rmind-. I N
Name: James Player
Company:C arpnr s, AnMhele
City: Vero beach State: FL
Zip Code: 32966 Fax:
Phone No. 352 - 50-7 `i
Address: Pn ROY 77R
City: Starke StateFL
Zip Code: 32091 Fax: 352-468-1113
Phone No 352-468-1116
E-Mail: Qu SS P Z, o C I+rtA S - C O WI
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail Jbpermitfl—@gmaii.com
State or County License CBC1251995
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.
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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 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-e-.nder or an attornev before commencing work or recordine vour Notice of Commencement.
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Signature of OwnerY Lessee/con'motor as Agent for Owner
Signature of Contr r/License Holder
STATE OF FLORII1i�
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STATE OF FLORIDA
FD7e O
COUNTY OF i-
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COUNTY OF
Sworn to (or affirmed) and subscribed before me of
S rn to (or affirmed) and subscribed before me of
Physical Presence Online Notarization
Physical Prese c or Online Notarization
or
is , 4 ay of 2024 by
this Z• day of ii 02f by
f
ame of person aking statement.F0_55;e'J
Name of person making slbtement.
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Iden ica, .on,
?'Y'':-, MARIAR.BURGIN
P duced
Produced ;'
849
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- �' Expires August 25, 2023
(Signat o f P1.1b'- e nf rInritin
(Signature o
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dYo11ti5.z''ea'�Se
Commis rlr
Commission No_ (Seal)
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REVIE S
FRON
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SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
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