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HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ; '�` Date: Permit Number: " '�^-� vbo ,r.. ,..., � �: Permitting Department Building Permit Application St. Lucte County Planning and Development Services Building and Code Regulation Division Commercial Residential 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: Y-fe Cc-N�*Vco Cr-) 1 S) r qq K 1,PROPOSEDt Il'MPROVEMENT10CATION: L Address: -1 © cl 6 �L i f' n I T- Ate? Property Tax ID #: l 30 1- • LP— O-7 7 a, Lot No. Q g Site Plan Name: Lakewood Park Block No.� Project Name: wJH FL LLc DETAILED DESCRIPTION OF WORK: New Electrical Meter Second Electrical Meter .CONSTRUCTION INFORMATION: - u Additional work to be performed under this permit— check all that apply: ' _Mechanical _ Gas Tank _ Gas Piping �y�iutters �indows/Doors —Pond lectric Plumbing _ Sprinklers V_ Generator ++oofll Pitch Total Sq. Ft of Construction: �aa Sq. Ft. of First Floor: 1 '7 Cost of Construction: $ to C) Utilities: _Sewer Septic Building Height: OWNER/LESSEE: 'CONTRACTOR: Name W,IH FL LLC Name: Morevocyke Address: 3091 Governors Lake or Suite 200 Company:. wJH FL LLC Address}_309t Gavemors Lake Or Stele 200 City: Naorass State: GA Zip Code- 30071 Fax: NA City: Norcross State: GA Phone No. (321)270.6629 _ Zip Code: 30071 Fax: NA E-Mail: Heather.Dahlin@CenturyCommunities.com Phone No A3217 zmubm Fill in fee simple Title Holder on next page ( if different E-Mail Hr�thx ahuh6�lCenturvCanm unt9as corn from the Owner listed above) State or County License CCC1617458 If value of construction is 2500 or more, a RECORDED Notice of Commencement is requires. If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER Not Applicable MORTGAGE COMPANY: Not Applicable Name:- Name: Address: -300-Broakside-Ave Address-. City: ArdbWr -State-- PA. City:. State:-. Zip: 19002 Phone Zip: .Phone:.. FEE SIMPLE TITLE HOLDER: Not Applicable 8 - ONDING COMPANY: Not Applicable Name:- Name: 'Address: Address:. City:. City: Zip- Phone:­ Zip:: Phone- OWNEkl CONTRACTOR AFFIDVIT: Application is hereby made to obtain a pen -nit to do the work and installation as indicated. I certify that no work or installation has commented prior to the issuance of a permit. St County makes no representatlon.thatis .granting aprermit tructure ,, '- ' 'Which is In lit n`f'If- ble"Hame Owners, 4. 4 on ruld$j V!Ar a covena 'a hibitsuc h structure. Adas6casuIn tout,Ham OwnersAssociationand review your:deed for any str Ilo s, i ay, 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 auilding Codes and St Lucie County Amendments. The following building permit applications are exempt from undergoing a full concurrencV review: room additions, accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use 'WAR . WARMING TO OWNEM.Yourfaillure.to Record a Notice. of Commencement may result "In' - paying twice,for t'- - -t'b' iet:6rd6d]11.ifi6,0 merits to -your property.r A'Wiice of Cori imencemen mus. e ublib'recor&,of Sti Im roven L6cple County and posted oil th6jobiiti beforeithe -fijrA. firs.. If you liritgnd10 obtain financ'in r- nn nt�Arnm%t kafAris rnmmanrino %AinrL-.nr r I I -ihenc­. - &COP'.401t �. "+I,.! ,4-r- Prnr,4in0­Vnur hnt16PL'4 Ito M'' emeht. Signat;ur 'e/C+phtrqctpr as Agentfor owner q.eM 1-fra-ituie-, of-C otractor/lIcen4eill-lolder 6LORIMA- OUNTYOF COUNTY OF 713y-CY" N, Sw to (or affirmed) and subscribed before me of to VePhy Sw9Kn to (or affirmed) and subscribed before me of Presence or Online Notarization Mfay' If Plivsical,Presence or Online Notarization by Of, OUT T 2121 by this this day of 4) CLd3m4--202, Oa-a--W. -DOI Name of pers6n,4naKin.&state nAnt. Name of person makin aten t Personally Kno 0dft1—fD.MffEM Personally Known Produced Identification—. tifiX Type of Identi ' c My CownisWim MH 029mo Type of Identification Produced- saymmomm Pr6duce-4- AAA0111A1114111 R MARA— (Signature N?%0P1*,,, b -I - (Signature of Notary Public- State of Florida) i:CD W, HA-W Commission No.Q01-Q10 (Seal) Ow ripen :11 114 Commissio my n heal? REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE. COMPLETED icev; wql,4v