HomeMy WebLinkAboutSLC BLDG. DEPT.Teleses Bldrs.Desai.8048 Plantation Lakes Drive.All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: fl 31 Z 1
Permit Number:
o rJ
Building Permit Application
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:
PROPOSED IMPROVEMENT LOCATION:
Address: e0gS_ PIL'n�-ahar) La,&s Drr,;e?
PropertyTaxlD#: 33:) I-80j� -• oo3q-000-_-� . Lot No. .33
Site Plan Name: D25Gc i e_, 4eni-e- lock No.
DtSo_. 'dery c�
Pro ect Name: ; p A
DETAILED DESCRIPTION OF WORK:
LnSta))
2_em12yeyrV
Po)e
'1 -Fo be
re-moyej z,- �e
-proie-c-f-'I�s
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
(Affidavit required)
Additional work to be performed under this permit- check all that apply:
Mechanical
Electric
Gas Tank
Plumbing
Total Sq. Ft of Constructions
Cost of Construction: $ ' �00 0c,
Gas Piping
Sprinklers
Shutters
Generator
Sq. Ft. of First Floor:
Windows/Doors Pond
Roof Pitch
Utilities: —Sewer —Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name QS h ndreLL 4 P'Y) 9 r7 ICAA
I rr
Name: -
-7
Address: 1Ot � 1RnU,6- r)) S �ridt9
Company: -0e-S F>j �C-FYI i7 ' �� e j
City: LkLu4' State: "Z-
Zip Code: 31411(p Fax:
Phone No. E-
Address: l 2- 0 Lo k3 fA 1 0 Ve n
City: qJi f A iAu— State: r-L
Zip Code: 3 4 q �' Fax: A) i
Phone No__77A '465- 2Uv 3
Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail I oes rw l,fso_ - corn
State or County License CC, 13 0 0-7.z_'V_3
ie vu — v1 l.vifpa uk Civil ID LJVU VI IIFVir, a ncLunueu wouce oT commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
ENTAL CONSTRUCTION LIEN LAW INFORMATION:
FDESIGNER/ENGINEER:"Not Applicable
MORTGAGE COMPANY: ✓°Nat Applicable
Name:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: ,r Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
n1Al1UF9?/rr1rk170Ar"rn0 Arr-in►nT.
_ _ . _ . I — r ] I I�Vffff. /App„cd11efi is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no work or instaliation 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 any applicable Homeowners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Homeowners 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 fore commencing work or recording your Notice of Commencement.
Signatu
ntractor as Agent for Owner
ST OF FLORID_ A
U NTY OF S 7_ •C 1.��� C--
Sworn to (or affirmed) and spscribed before me of
this/ day 20.3 / by
Name of peFson making statement.
Personally Known 11""' OR Produced Identification
Type of Identification Produced
(Signature of
Commission No.
ry Public- State of Florida)
Physical Presence or Online Notarization
(Seal) _ • I* NOWY Public Sloe of FWkM
]]T'' Randolph McDaniel
;� + My Commission GG 352355
sj h Eximms i9111117=23
REVIEWS FRONT ZONING
COUNTER REVIEW
DATE
RECEIVED
DATE
COMPLETED
e— /20/21
SUPERVISOR PLANS VEGETATION f SEATURTLE � MANGROVE
REVIEW REVIEW REVIEW REVIEW REVIEW