HomeMy WebLinkAboutMcCall.WH.permitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Z Permit Number:
Building Permit Application
Planning and Development services
Building and Code Regulation Division Commercial Residential V/
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR_
.PR-QP0q P OVEMENT-tQCAT N
Address: &0
Property Tax I D #: 0 Lot No.
SitePlan Name: Block No. -67
Project Name:
DETAILED SCR FWORK. -44
50
New Electrical Meter Second Electrical Meter
ON-INFORMATIOW
Additional work to be performed under this permit- check all that apply:
_Mechanical _ Gas Tank —Gas Piping Shutters Windows/Doors Pond
Electric V/ Plumbing Sprinklers Generator Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ oo Utilities: —Sewer _Septic Building Height:
b Wkktk/ EE
NarnerA0VJt Mo-
_LIAIL-lig�j)e_
Name.
Address: 1, 'Dr -&103 Myr-Ak- -
City. eor,-D�pe-� State: rL
Zip Code: 3 4 C( Na Fax:
Phone No.]]
CompanyJ-1, The-'l-flipm,
Address: 45J 5-F- f5_m_
Cityj�f + 5+ LC e_ State: FL -
Zip Code: 3-4iIiiiQ Fax:
E-Mail:
Phone No -7-12:23 J- £ -2-XZ
Fill in fee simile Title Holder nn next D2-aA ( if different
from the Owner listed above)
E-Mail hA z 4
State or County License
If
value of construction is 7500 or mare -Pr:rnonrnrv-*
Lice o ommencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
Name: --- .-�-------
Address!
City. State:
Zip-. Phone
FEE 5IMPLE TITLE HOLDER: _ Not Applicable
Name:
Address: .
City:
Zip: Phone:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
City: _State:
Zip: Phone:
BONGING COMPANY: Not Applicable
Name:
Address:
City:
ZIP: Phone:
OWNER/ CONTRACTOR AFFlDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
l certify that no work or installation has commenced prior to the issuance of -a permit.
St. Lucie Coun makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your dome Owners Association and review your deed for any restrictions which may apply.
In consideration of the
in accordance with the granting of this requested permit, I do hereby agree that i will, in all respects, perform the work
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 th Jobsite be€ore the first inspection. if you if1tend to obtain financing, consult
witFhienc r or an attorney be€�e commencing work or recordingarntir Mills ^,f
of Owner/ Lessee ntracttir as Agent for Owner
STATE OF FLORIDA
COUNTY OF - U ..
Sw� to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this day of �� 2ti21tby
Name of person making statement.
Personally Known Z OR Produced Identification
Type of Identification .
Produced
STATE OF FLORIDA 9
COUNTY OF : i e
Sworn to (or affirmed) and subscribed before me of
' Physical Presence or Online Notarization
' this 1✓ day of Pik^^ k,r �, 2024. by
Name of person making statement.
Personally Known OR Produced Identification'
Type of identification
�...:�
-d1ANE COLE
Na.= N�ay, b ' State of Florida
(signature of No798anded
GG %toss
my COMM Exisires gar 14, 2024
NatiMa! H Assn.
Signature of Notary Public- state Of ' DIANE COCommission
_ N"y Pubtk - St�N
Commission No. t.ammissir X GG
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COUNTER
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