HomeMy WebLinkAboutWasson permit appAII APPLICABLE INFO MUST BE COMPLETED FOR APPTICATION TO BE ACCEPTEDPermit Number:Building Permit ApplicationPlonning ond Development SeNicesBuilding ond Code Regulotion Division2300 Virginio Avenue, Fott Pierce FL 34982Phonet 17721462-L553 Fax: 1772) 462-1578CommercialResidential{CBDG FundingAddress:Property Tax lD #:Site Plan Name:3\O2 - tacjq . b\38-ooo- \Lot No. LioBlock No. L 3Project Name:Po\ra oo€ S0r--: DV€-fPt r n",{'*r.New Electrical MeterSecond 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 _ Pond_ Generator _ Roof _ Pitch_ Electric_ Plumbing _ SprinklersTotal Sq. Ft of Construction:Cost of Construction: S 'Sq. Ft. of First Floor:Utilities: _Sewer _ SepticBuilding Height:lfvaluc of constructlon is 2500 or more, a RECORDED Notlce of Commencement is required.f value of HAVC is S7,500 or more, a RECORDED otice of commencement is required.PERM IT APPLICATION FOR:PROPOSED IMPROVEMENT LOCATION:51cj JAicf-o.,-, Dr. -R"-\.erc€ ,€L 3Yq8'LDETAILED DESCRIPTION OF WORK:OWNER/LESSEE:CONTRACTOR:Name \ C Lr \\-'( \.<r\\ .\Name: Dc\v\d F. M'\\<.rAddress;City: 'i istate: _L_Lztp code: 3\t( 7- Fax:Phone No.E-Mail:Fill in fee simple Title Holder on next page (if differentfrom the Owner listed above)Company:Address:city: fb''Phone NoE-MailState or County License^.LLCzipcode:'3\qt \CylC \2.5"\13q
SUPPLEMENTAL CONSTRUCTION LIENLAWINFORMATION:DESIGNER/ENGINEER: _NotApplicableName'craig E Gunde/sonAddfeSS:4161 r.mi,mi r€i unt 101State:PhOn e e41.3sr-6€s0-City:Zip:. )Address:City:Zip: _ Phone:MORTGAGE COMPANY: x Not ApplicableName:State:FEE SIMPIE TITLE HOTDER: x Not ApplicableName:Address:City:zip:Phone:BONDING COMPANY: x Not ApplicableName:Address:City: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 Countv makes no representation that is granting a oermit will authorize the oermit holder to build the subiect structurewhich is in conflict with any applicable Home Owners Asaociation rules, bvlaws or and covenants that mav restrict 6r orohibit suchstructure. Please consult with your Home Owners Association and review your deed for any restrictions which may adply.ln consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform th€ workin 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, wallt signs, screen rooms and accessory uses to another non-residential useWARNING TO OWNER: Your failure to Record a Notice of Commencement may result in paying twice forimprovements to yoylprcperty. A Notice of Commencement must be rgcorded in the public records of St.rmprovemenrs ro Yowptopefry. A No(ce oT Lommencement must oe rgcoroeo rn the pubttc records ot 5t.Lucie County and p/s1bd on the jobsite before the first Inspection. lf yglintend to obtain financing, consultwork oras Agent for OwnerSworn to (or affirmed) and subscribed before me of-Pbvsical Presence or Online Notarizationi6EJt, oav or -l-l.-z\t^-o- . zozd uvSTATE OF FTORIDACOUNTY OFSworn to (or affirmed) and subscribed before me ofPh),6ical Presence or Online Notarizationtt irtS arv ot --It tr.-,r-- . zozf uvName of person making statement.Type ofNorarv pr:Ur,< - siate oirroril:sroi i GG tJ5939trotresSeo:9 rC) rE-+arm,.n lu,.a *.,,,, a,,".. i (ommitslon !6G 135919T--trlv Comm E{P res SeP 29 2021e@-re::. Borded thrcllqh raoclNotary At4