HomeMy WebLinkAboutBuilding Permit Application i
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 7 - 13- 202-1 Permit Number: LT� n
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Building Permit A lication
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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 1NIPRt VEM Oft- CATItJN
Address: 10044 S OCEAN h K /APT' 90( ,, i1 USISEA S ACH FL 3 L/ 757
Property Tax ID#: 46p-L-VDL ( OU7--GO6-�f) Lot No.
Site Plan Name: Block No.
Project Name:
DETAILED DE5CRIPT�ON (� WORK• `
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_ - New Electrical Meter Second Electrical Meter
Ctrji IN`FOR#1YIATION � "
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Additional work to be performed under this permit-check all that apply:
I Mechanical Gas Tank Gas Piping Shutters _Windows/Doors Pond
I _Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total:Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 302 .LOO Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE" CONTRACTOR
Name L`Q VJ AA D L-PAR KC" , Name. 2 -rot
Address: 100 q 4. S. 0 C CA/y/ b k Company: L..ewV rn�-&m- Ux-.
City:_1�-�5 EAl �CA 6 N State: Address:jU3'&--DofllAc�-
Zi,p.Code: 3 IN 51 Fax: City: W6 - RIM laeaa, State:
Phone No.(S l o ) 3-9 4 - 4 Z 51 Zip Code: �!)�L4C7 1 Fax:
E-Mail: CPAR. Eek,5g2)GMA IL C.OM Phone No 1JLU.I—if Z-9%Z M�P.Y�V '
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Fill in fee simple Title Holder on next page(if different E-Mail'Pwm,its @ Uc vir&r, i i:L.ccry'l'
from the Owner listed above) State or County License CK rol 2LI-7-3
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.
SURPLEMENTAL CONSTRUCTION LIEN LAW INFORIVIATION
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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-AFFIDV-IT:-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.
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Signature of Owner/Lessee/Contractor as Agent for Owner Signature o C actor/L/ ense Holder
STATE OF FLgIDA STATE OF FLORIDA
COUNTY OF kMM B'pr-Irl COUNTY OF RIM sec ch
SwoJn to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
✓ Physical Presence or Online Notarization ✓ Physical Presence or Online Notarization
this ZZ day of J utw 2024 by this 22-day of JUG 2023 by
-- - -- Giar - ,✓----- — -- -- Je 'r -ci '
Name of person making statement. 0 9� ame of pets n making statement.
Personally Known OR Produced Identificat', n � ��0c Personally Known ✓ OR Produced Identificati Ran 0%
Type of Identification o Type of Identification o �
Pro ced t� �[� T a 3 0 Produced o a N. CD
a-CD / � �
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Signature of No ary Publi - to 00
F rida ) o Signature of Not,ry Pub[' -S to of o 'da ) N _
nN 2=1 c rnXN
Commission No. (Seal) �d�oE Commission No. (Seal) Qo ��
Cn(D p, N N N
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 6 20