HomeMy WebLinkAboutSara Krick_Permit Packet ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Q/ Ie-2J202J Permit Number:
Ui ing Permit APPl1CaX110
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Address:
Commercial Residential
CBDG Funding
Q I -
Property Tax lD —onb 2 Lot No.
Site Plan Name: Block No.
Project Name:
I DETAILED DESCRIPTION OF WORK::
30 &Y1
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
_ Electric _ Plumbing _ Sprinklers _ Generator
Total Sq. Ft of Construction�:y
Cost of Construction: $ / 01
Sq. Ft. of First Floor:
Windows/Doors Pond
_ Roof Pitch
Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name LoL
Name:
Address: -e
City: Viace State:ELL
ZipCode: 3��=1� I Fax:
Phone No. 70 2O �Lct( E-
Company:
G
Address:
i
City: � < I,�, e C State: VL
Zip Code: Fax:
Phone No Llab `C" t [ j
Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail 5 ,c
State or County License EOAsco-T ( to
If VORUC IJI cvn IJULLI n ib z3vu or more, a KCwKutu Notice of commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
Zip: Phone:
City:
Zip: Phone:
v VV I VIE / %.vrlv I li%M4I UK /ArriUV f I: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that nt�oy!work or installation has commenced prior to the issuance of a permit..
wh ch is ICounty
c onfliccttawith any applicable Home OwnerstAssociation rue abylaws or and covenants that build
drestrictborprohibit 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 a00terrteefore cQxniuencing work or recording vour Notice of Commencement_
STATE OF FLORIDA
COUNTY OF
Sworn to (or affirmedJ and subscribed before me of Physical Presence or Online Notarization
this day of .. S�4Q j- 20,al by -
Name of person m6king statement. T-
Personally Known OR Produced Identification
Type of Identification Produced
(Signature of Notary Public- State
Commission No. (Seal)
REVIEWS FRONT ZONING
COUNTER REVIEW
RECEIVED
DATE
SAVMNASTILLWELL
MY COMMISSION # CG 197649
EXPIRES: March 19, 2022
SUPERVISOREVIEW R I REV EW NS I
VREV EWON I SEA EWLE I M EV EWVE