HomeMy WebLinkAboutCarl Schafer Permit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: —StaL2_1 Permit Number:
� 0 C 0C�-�
Building Permit Application
Planning and Development Services
Building and Cade Regulation Division
2300 Virginia Avenue, Fort Pierce Ft 34982
Phone: (772) 452-1553 Fax: (772) 452-1578
PERMIT APPLICATION FOR:
Commercial Residential_
CBDG Funding
PROPOSED IMPROVEMENT LOCATION:
Address: :-_- ' % Q l i;nr'iq& "'D1.u-4 i
Property Tax I D #: Site Plan Name:
Project Name: Cnr l c—, C'Yl'nQc�r
DETAI LED DESCRIPTION OF WORK:
ivew tiectricai 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
Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $
OWNER/LESSEE:
` Generator Roof
Sq. Ft. of First Floor:
Utilities: — Sewer _ Septic
Address: '
City: � State:
Zip Code: Fax:
Phone No. - �l tilcE_
Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
CONTRACTOR:
Name: C-DC
Company:kJAMk
Address:
City: i
Zip Code:
Phone No —1'1
E-Mail cl
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.
Lot Noll �
Block No. E
Building Height:
Pond
Pitch
State: A.
Fax:D L_AL6 L1g
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
Name:
MORTGAGE COMPANY: Not Applicable
`
Address:
Name:
Address:
City: State:
Zip: Phone
City State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
BONDING COMPANY: Not Applicable
Address:
Name:
City:
Address:
Zip: Phone:
City:
Zip: Phone;
OWNFR/ r.01YTRArTnD ACC1nArlr. -__
---- - .-- - •■--■ ■ . r.NNuc.auUn is nereoy mace to obtain a permit to do the work and installation as indicated.
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 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 before commencing work or recording our Notice of Commencement.
ignature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF
Sworn to for affirm d) and subscribed before me of
this2,�'Jday of 20ZI by
DuV.
Name of person making statement.
Personally Known —') OR Produced Identification
Type of Identification PrjWuced
of Notary Public- State of Florida
Commission Nog41gLQeLSeal)
REVIEWS
RECEIVED
DATE
COMPLETED
FRONT ZONING
COUNTER REVIEW
Physical Presence or Online Notarization
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Maury PublIG State of Florida
Jeanne f.tndow
My Conirnbalm HH 141082
Expfts =1102025
SUPERVISOR j PLANS VEGETATION j SEATURTLE I MANGROVE
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