HomeMy WebLinkAboutBUIDING PERMIT APPLICATION SEP-1-2021 11:06 FROM:RCE PLUMBING, INC 7725678494 TO:17724621578 P.2/3
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED p �1-V
Date:��]�� Permit Number: �� 0 / y
RECEIVED
i o SEP 012021
Building Permit Application SL Lucie County
Planning and Developmcnr Services Permitting
.Building and Cade Regulatibn Divi,Sion Commercial Residential
2300 Virginia Avenue,Fort Pierce Ft 34982
Phone:(772)462-1553 Fax:(772)462-1578 CBpG Funding
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION: '
Address: 9 11k A. hA&jrs `mina_ -
Property Tag ID#i: Lot No. al
Site Plan Name: ' Block No.
• T
Project Name:
7 .
ID&AILED DESCRIPTION OF•WORK:
L►_ - —'r car
New Electrical Meter Second Electrical Meter (Affidavit required)
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit-check all that apply:
Mechanical —Gas Tank Gas Piping „ Shutters _Windows/Doors -�Pond
Electric J/f$lumbing ,—Sprinklers Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:. _
Cost of Construction:$ Q-rm'Q 0 Utilities: Sewer Septic Building Height:
OWNERAESSEE: 9 CONTRACTOR:
�Name r sia0ra M l l e s4ad Name:
Address: --i 03�a rla= latI I-C. Company: n">p_ -LISt.YO)D 1UL
City: state: V Address:jolt 5 ? -PIA t -
Zip Code:-:Ir7 i 1$ Fax: City:Yz= C.,b Stater
Phone No. E- Zip Code:,ry 2R�.p2 Fax:h*t'Z- 61Aq
Mail: Phone No
Fill in fee simple Title Holder on next page(if different E-Mail QC�.►o �Y1 from the the Owner listed above) State or County License 1
If value Qf construction Is 2500 or more,a RECORDED Notice of Commencement is required.
If value of HAVC is$7,500 or more,a RECORDED Notice of Commencement is required.
SEP-1-2021 11:06 FROM:ACE PLUMBING, INC 7725678494
T0:17724621578 P.3/3
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DESIGNER/ENGINEEW ,�,Not Applicable MORTGAGE COMPANY; _.Not Applicable
Name; Narbe:
Address: Address;
City., state: City: I . _State.,
State.,
Zip: T Phone Zlp:_,•„,,,,„„ Phone'
FEE SIMPLE TITLE HOLDER: Not Appll'cabie BONDING•COMPANY: —Not Applicable
Name: Name:
Address: Address:
City: City:
Zip:_. _, Rhone: Zip: „ Phone-
OWNER/CONTRACTOR AFFIDViT;Appiicatlon is hereby made to obtain a permit to do tide work and installation as Indicated.
1 certify that no work ar installation has commenced prlorto the Issuance On permit.
St,Lucie County m$kes no re rosentation that isiirantin a permitwill authorize the permit holder to bulid the sobj "strructure
which conflicts with any appi�cable Homo-owners�ssocla Ion rul s,bylaws or and covenants that may restrict or prAlt It such
structure.Please consult with your Homeowners Association an.review-your deed For any restrictions which may apply.
in consideration of the.granting of this requested'permit,i do horeby agree that I will,in all respects,pWorm the work
In iccordance with the,approved plans,the Florida Building Codes and St.Lucie County Amendments,
I The-following building permit appllcations,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-residentini use
WARNING.TO`OWNER:Your(allure to Record a Notice of'Commencetnent triay,result in paying twits for
Improvement$.to your property,A Notice of Commencement must be recorded in the public records of St.
Lucie CoUky and posted an the jobsite before the first Inspection,if you intend to obtain finanCing,consult
w1tb lender or an attorne before commencing work.or recording-your Notice of Commencement.
gnature o caner/Lessee/Contractor as Agent For owner
S't'ATI:OF FI.O�����U
�outunc o>: ,
Swom to'(or affirm id)and su scribed before me of Physical Presence or Online Notarixatlon
this day of 2011,by
Name of person m6king.st/atement.
•Personally Known t: 4R Produced Identif catlnn
Type of identification Produced
(Slgnacure of Notary Public.State of Florida)
Yam, JIJtN'IA.BRAaK$
commission "'� i3�9x3Qe8
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER. REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED _
DATE
COMPLI:TEf?
R-675720771