HomeMy WebLinkAboutBUILDING PERMIT APPLICATION All APPLICABLE I FO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: I g-b Permit Number: l
RECEIVED
UC
S
0 ,,- SEP 0 3 2021
h - I _D - � Building Permit Application St.Lucie County
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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 CBDG Funding
PERMIT APPLICATION FOR:
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PROPOSED IMPROVEMENT LOCATION:
Address: 7870 Germany Canal Road,Port Saint Lucie,F134987
Property Tax ID#: 3229-212-0002-000-7 Lot No.
Site Plan Name: Royal Acres Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
need to dig well in order to provide water to cattle,need electric to run equipment and water pump.
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
X Electric XPlumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
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Cost of Construction:$ 7 5 Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Jonah and Maria Martinez Name:
Address:662 SE Starfish Avenue Company:
City: Port Saint Lucie State:FL' Address:
Zip Code: 34983 Fax: City: State:
Phone No. (772)215-6836 E- Zip Code: Fax:
Mail: mariajonahl2504@aol.com Phone No
Fill in fee simple Title Holder on next page(if different E-Mail
from the Owner listed above) State or County License
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.
I
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
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 AFFIDVIT: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 conflicts with an�applicable Homeowners Association rules,bylaws or and covenants that may restrict or prohibit such
structure.Please consu t with our Homeowners Association and review our deed for an restrictions which may apply.
Y Y Y Y
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 our ro property. Notice o Commencementm st be recorded 'n the public records of St.
y p pe y A f o e 1 p I
e C a9d posted on the jobsite before the first inspection. If you intend to obtain financing,consult
or on attorney before commencing work or recording our Notice of Commencement.
Signature of Owner/Lessee/Contractor as Vent for Owner
STATE OF FLORIDA
COUNTY OF
Swor to(or affir ed)andsubscribed before me of `Physical Presence or Online Notarization
thi day of ^} 21�1 by
Name of person making statement.
Personally Known ' ced Ide tificati
Type of I entification Produced
(Signature of Notary u lic-State of Florida) Y g•HUMPHREY
AUDRE
riv N�o-,, GG 30o817
Commission No. (Seal) °�" '`': MY COMMIS$10R#
*_ g:March 6,2�23
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DATE
RECEIVED
DATE
COMPLETED
ev 5/20/21