HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 08/09/2021 Permit Number:
pro LUFCIuL� —�
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Building Permit Application
Planning and Development Services
Building and Cade Regulation Division Commercial Residential X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
PROPOSE4 IMPROVEMENT LOCATION:
Address: _248 CAMINO DEL RIO. PORT ST LUCIE FL 34952
Property Tax ID q: _342 7-500-0224-000-1 Lot No. 248
Site Plan Name: Block No.
Project Name: DESROCHES. PIERRE
New Electrical Meter Second Electrical Meter (Affidavit required)
CONSTRI,)C'1oN'INfORllxt ,
Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors _ Pond
X Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 13,356.00 Utilities: —Sewer _Septic Building Height:
OWE
04LEWE:
CON
;OR:
Name PIERRE DFSROCHFc
Name: NORMAN
PURKEY
Address: 248 CAMINO DEL RIO
Company:
SOLAR BEAR LLC
City: PORT ST LUCIE State: _EL
Zip Code: 34952 Fax:
Phone No. 516-444-6277
Address: 4091 AMTC CENTER BLVD
City: CLEARWATER
Zip Code:
Phone No
State: FL
33764 Fax:
727-471-7442
E-Mail: DESROCHES2000(o)AOL.COM
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail IOETeOURSOLARBEAR.COM
State or County License EC13006630
IT value or construction is Z500 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.
SiJf'PUMNTAL CIMSTRUMON 41 EN LAW [WORM ; N: ;
IGNER/ENGINEER: _ Not Applicable
Nam
MORTGAGE COMPANY: Not Applicable
Name:
Address:
Address:
City: State: _
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
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 certifythat 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 !sin 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.,
inconsideration 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
Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consul
with lender or an attornev before commencine work or recording vnur Nntirp of rnmmonrcment
A). r r i.,
Signature of Owner/ ,LrssaeLCo or as Agent for Owner
STATE OF FLORIDA
COUNTY OF alw/mX
Sworn to (or affirmed) and subscribed before me of �hysical Presence or _ Online Notarization
this '1_dayof dfdy,&r4 20at by
T
Namb of person making statemedt.
Personally Known X OR Produced Identification
Type o)ldentifjiilllto Produced
rw
ig tur of Notary Public- State of Florida )
=NNotary
oseph Tribou
miss n No. � V/001 (Seal)blic, State of Florida
sion Expires 12/07/2024
sion No. HH 69907
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