HomeMy WebLinkAboutBUILDING PERMIT APP - RICHARD WOODIN 2806 ACCE
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All p pPLICASLE INFO MUST BE r-Q PLETED f011 APPLICATION TO 6E ACCEPT N tuber; - - - - -
d Y gulilding Permit Application
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in and*DeveiopmentServices Residential
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Euildirrg and Code Reg0atron Dims
�300Virginio Avenue, Fort Pier[eFL 349 6821578 CBDG Funding —
phorie. (7721 462-1553 Fax. ) 4
PERMIT APPLICATION FOR: 'VV_�-
PROPOSED IMI,PROVEhhEIVT LOCATION:
Address- t T -
- ( got N __
property Tax ID W. Block No.
_
_Site Plan Name: oe � _
Project Name'
DETAILED 0ESCRIPTION OF WORK:
c
New Electrical Meter_ _Second Electrical Meter (Affidavit required) -
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit -check all that apPiY'
Mechanical _Gas Tank _Gas Piping _Shutters �W inflows/0oars �Pond
!_Electric !Plumbing !Sprinklers Generator _ Roof Pitch
Total Sq. Ft of Construction: I I 1 Sq, Ft_of First Floor:
Cost of Construction: Utilities. -Sewer .._Septic Building Height,
OWNER/LESSEE: CONTRACTOR:
tame Lac I
ame=
Address. 980L CII Company-
City; Pi-ex- c - _State, Address, f eS
Zip Code; Fax. _ �` City: State,
Phone No, 1r- Zip Code. . �� Fax. - Zit I
Mail. urt T Phone No - D
Fill in fee Simple Title Holder On next page (if different E-Mail + O
from the Owner listed above) State of Jaunty+ License
1.I4 value of construction is 2500 or more, a RECORDfE)Notice of Commencement is required.
If value of HAVC is$7,500 or more, a REC0RIDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAVA! INFORMATION-
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY, Not Applicable
Name: Name:
Address; Address-
City: Mate: _ City: State.-
zip. Phone Zip- Phone:
FEF 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 rep resentation that is granting a permit will authorize the permit holder to build the subject structure
which conflicu with any app icable Homeowners Association rules,bylaws or and covenants that may restrict or prohibit such
Struaure. Please consult with your Homeowners Assod+ ktion 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,
attessory 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 lenAer or an attorney before commencing work or recording our Notice of Commencement.
0&
Sign re of Owner/Lessee/Contractor as Agent for Owner
STATE OF FLORIDA ,
COUNTY OF �J 013 Q
Sworn to(or affirmed)and sp bscri bed before me of _Z/Physical Presence or _Online Notarization
this 97t day of SYA kM 20,7L by
Name of person mak i n g statement-
Personally Known "R Produced ldentification
Type c entifitation Produced
Miette MCGrory
(Signature of Notary Public-State of Florida)
�'■ •.. AlwME mCWRY
Commission No. � (sea II F. ':. Naurp Public•3tateof Fiends
'� (pmmissio6/144#3930
µy comm.E:plrei€eb 23,2025
E ceded thr ou}h Hat W b1 NOWY
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REVIEWS FRONT ZONING SUPERVWFt PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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