HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1 Permit Number:
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Building Permit Application
Planning And Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fart Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
Commercial Residential �G
=,ION
Address: (Do oc.�w.3 0LvL)ir v�.sr: �DL 3'%-SpeJ -qe'b.c.L.. _ P-L- 3 'k9'r}
Property Tax ID #: LISoy-fit- 000t - --t— Lot No.
Site Plan Name: _. Block No.
Project Name: ncl �lsI[Sp Mj:
DETAILED DESCRIPTION OF WORK:
L CwWJFi � �niS`p6u� 3S � � arr;t � �„dsS bodVL-
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
(Affidavit required)
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: 4 kz_k Sq. Ft. of First Floor: I OLA- L(
Cost of Construction: $ Sb ao o Utilities: , Sewer — Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name �► L�i3
Name:
Address:._ivaoo svv,.�v��a/c
Company: Prate- ter LLc-
Gty: e%-' 3eva-c-c^ State: T
Zip Code: SQ;r "5r Fax:
Phone No.
Address: ,o umsva # Z`, 3
City: r i. State: F'L-
Zip Code: 33%t tl Fax:
Phone No SLA -(o(oo-3<bq
E-Mail:
Fill in fee simple Title Molder on next page { if different
from the Owner listed above)
E-Mail_ 4etw�ssGr c � ,r ;gR, .c,n"
State or County License LAG-cs2�S�-1
If value of construction is 2son nr mnra a R1:f1n0nrn Ai.,+:.....s r......
-- - -- -- _ _ ...a,nuncEacrr�cni i5 requirea.
If value of HAVC is $7,500 or more, a RECQRDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: ^ Not Applicable
MORTGAGE COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City: State:
Z►p: Phone
City' State:
Zip: Phone.
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
n1A1fUPR/ rnnirDAf-rnn Arrin111r. .
HppiiLa-uon is nereoy mace 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.
Signatu e o w r/ Lessee/Contractor as Agent for Owner
STATE OF ORRIDA
COUNTY OF ^_"4.. L3Lwkvc,�
Sworn to (or affirmed) and subscribed before me of )6 Physical Presence or Online Notarization
this @0 day of 3j1-204 by
NJ— 14
Name bf person making statement.
Personally Known L— OR Produced Identification
Type of Identification Paced
ure
ry Vuoiic- State of Florida )
Commission No. bta R -+-OT--t{ (Seal)
REVIEWS FRONT ZONING
COUNTER REVIEW
DATE
RECEIVED
COMP
O Noury PubicState of Florida
Michael James Milis
My Commission GG 070024
er w Expires 03118l2024
SUPERVISOR PLANS � VEGETATION f 5 RE TURTLE I MREVIEWVE
REVIEW REVIEW REVIEW I i