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HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE c6mPLETED FOR APPLICATION TO BE ACCEPTED Date: • o� I Permit Number: Z- G a 3 7 C01 RECEIVED f' �' J' 'LUs) MAR 0 9 2021 Building Permit Application Permitting Department Planning and Development Services St. Lu le County Building and Code Regulation Divisi n Commercial Residential 2300 Virginia Avenue, Fort Pierce F 34982 Phone: (772) 462-1553 Fax: (77 ) 462-1575 ! PERMIT APPLICATION FO : ,nt=W ca�s�-�.�. � 51 � �-FDIrn t l PROPOSED IMPROVEMENT LOCATION_ Address: © o'a 6 -C,' Property Tax ID #: ) 3 0 L - LQ- k I Site Plan Name: Lakewood Park ProjectName: wjHFLLLC DETAILED DESCRIPTION O WORK: lC�lnsir rnnci'rl r . 41AYT _.CII D©o . Z New Electrical Meter econd Electrical Meter, CONSTRUCTION_ INFORM ION: _ ~ Additional work to be performed _Mechanical _ Gas Tank lectric Plumbing Total Sq. Ft of Construction:. o� Cost of Construction: $ 1115►.���I150 r this permit— check all that apply: Lot No.__� Block No. - I CAI, —Gas Piping 1g-Vutters vl Uindows/Doors _ Pond _ Sprink ers _ Generator oaf Pitch 3 '?Z Sq. Ft. of First Floor: I (O 5 Utilities: ,_Sewer Septic Building Height: f OWNER/LESSEE: CONTRACTOR:_ Name WJH FL I I r, Address:3WIGovemorsLAeorSuite 200 Cjty; Zip Code: _ 3Uo71 Fax: Phone No.. (321)270-6629 E-Mail: Heather.Dahtin@CenturyConmunities.com Fill in fee simple Title Holder on from the Owner listed above) Name: momynca Company: wJHFLLLc _ State: GA NA Address:_3091 Gmemas Lake Or Su 1e 200 City: Naaoss State: GA Zip Code: 39071 Fax: NA Phone No (32172ru-tsb 9 - E-Mail Haatfu�DahOn®canlurvCammuntttoscom State or County License CCC151745B n )rt page ( if different If value of Construction is 2500 or morl, a KLLUKULU (votice or Lommencemem a reyuu cu. If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONST UCTION LIEN LAW INFORMATION:. DESIGNER ENGINEER: Name:. muihemaKyt Address: 300 Brookside AveAddress: City:. Anibler Zip: - 19002 Phone _ Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: City: State: Zip: Phone:.. State: PA FEE SIMPLE TITLE HOLDER: Name:-. Address: City: Zip:.. Phone:, _ I _Not Applicable BONDING COMPANY: Not Applicable Name: Address: city.. — Zip: Phone: OWNER/ CONTRACTOR AFFID IT: Application is hereby made to obtain a permit to do the work and installation as indicated. I certify that no work or installation I as commenced prior to the issuance of a permit. St. Lucie Count�yy makes no representtaation that'is granting a permit will authoriie,the permit holder';to build the subject structure which if 1n conflict with any applicable Home Owners Association rulesi-bylaWs'or and covenants that may r6strict or prohibit such structure. Please consult with your H me Owners Associatidn and review yaurdeed for any restelctions which may app{y. In consideration of the granting of th s requested permit, I do hereby agree that I will, in all respects, perform the work in accordance with the approved pla s, the Florida Building Codes and St. Lucie County Amendments. , The following building permit applica ions are exempt from undergoing a full concurrency review: room additions, accessory structures, swimming pool , fences, walls, signs, screen rooms and accessory uses to another non-residential use WARNING TO OWNER: your fai ure.tq Record a Notice of Commencement�may result in paying twice for -improvemelits to your pro erty. 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 Wore commencing work or recordiing.your Notice. of Commencement. ST 1OR1,I* COUNPr OF FD Sw n to (or affirmed) and PhNital Presence or thiscyof. VP Name of person Agent for Owner before me of ie Notarization 2021 by ) ,1e�- Personally Known r OR Produ♦ ed Identification Type of Identification Produced (Signature of Notary Public- State of Florida ) � Commission No.l©a Mor1r P-; gn of Form F1. 1 02Yo10 E REVIE 1R NG EW I:M4Ulai7 COUN OF M r t--Va at (`A S o to (or affirmed) and subscribed before me of Phy?�j¢�al Presence or Onlinp Notarization this., y of # 202i by l P� Name of person ma i statement. Personally Known OR Produced Identification Type of Identification Produced - (Signature of Notary Public- State of FloridaFl/o) Commission No. � d q 0) I/ (Seal) R