HomeMy WebLinkAboutAndrew Ferrera permit applicationPlanning and Development Services
30dfng and Code Regulation Division
2300 Virginia Avenue, Fart Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 6 -1 78
PERMIT APPLICATION FOR:
Add rss: 7
Property Tax I D F
Site Plan Name =
Project Name:
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All ApPUCABlE INFO MU$T BE COMPLETED FOR APPLlGATlDM TO BE ACCEPTED
Date: ���!"'°��� f Permii Number.
Building Permit Application
Residential
Commercial
-OW
New electrical Meter Second Electrical Meter
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c� L�rce
Lot Na.1Y.3.,�
Block Igo. �.
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Additional work to be performed under this permit —check all that apply:
Mechanical Gas Tank Gas Piping ZSh utte rs
Electric
Plumbing Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ .7?/z P--O,. 62
Generator
q. Ft. of First Floor:
Windows/Doors � Pond
Roof Pitch
tllfties: Sewer Septic Building Height:
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-�.:OWNERJL EE',
Name
Addrebs. lo
t
city. State: Ir
Zip Code: Fa:
Phone No. 17 e:52L:;?
E-flail#
Fill in fee simple Tittle Holder on next page If different
from -the owner listed abcme)
,.CONTRA
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m���y: /�rl�7C �
Address: oq�) ;7
City; state:Of
Zip coae:. Fax:
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State or oun#y License
If #a I Ue of conAmction is ZSGU a r more, a RE OR DE D Notice of Comm ence ment is req aired.
If value of 14AVC is $7.pSGO or more., a RECORDED Notice of Commencement is required ■
DESIGNS ENGINEER; Not Applicable
Name:
Address;
I* State
*ip: Phone
FEE SIMPLE TITLE HOLDER; Not Applicable
Name.,
Address:
City:
Zip-, Poi
MORTGAGE COMPANY- Not Applicable
Name:
Address:
City: tat
Phone* - ---
BOLDING COMPANY-. ----Not Applicable
Name:
Add r:
C'
y
Zip: Phone:
wNER/ CONTRACTOR AFFID : Appiication is he re by made to obtain a permft to do the work and installation as in dicated
I certify th at no wa rk or i nM nation has cornmenced pri c r to the ma n ce of a permit.
t+ Lucie County.makes no representation that is tl ng a err+ it will authorize the - e it holder to build the subject structure
tca ble H orne Owners Ass i atron l es-, aw or a ng ca 'e na nts t at may restricta r` pro h i bit such
s ctu re. Pie ass cons u It with o u r Horne Owns rs Ass cc! ate a n d r aw you r deed for a ny restrictions which m ay app ,
In consideration of the granting this requested permit, 1 do hereby agree that I Will, in all respects, perform the worm
d.I n G orda rice width the a pp roved p is ns, the Florida Bondi nig Codes an d t. Luca a ��nt m me nts.
The faiIowing buiIding permit appircations are exempt front under oing a fuII concu rrency review.- room additions,
a cress o ry stru ct. u res, qwi m ni i ng poo Is., fences., rya I Is, signs, sore en rooms a nd accessory use s to a not e r non-residential Use
WARNING TO OWNER* Your failure to Record a Ncrt!Ce 9f Cqmmencement may result in payer Lice for
1m p roveme nts to Vc u r proper. • Notice of Com m e n ce m ent must be record ed i n the public reco r l s of St.,
Lucie County and posted on the jobsfte before the first inspection. If you intend to obtain financing consult
wit - rider P. r an# 6 nor,.erg sing work or_rec _P '! tie � enceme lt.
J r.
i f Owner Le or 'as Agent for Owner
{
ATE OF FLUOD
COUNTY OF
W to (or armed) and subscribed before nee o
Physical PIresen a or ,.r+.0 mine Notarization
this day of r _ L ce - � by
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Name of person makkg statement.
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J001el
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5ignat„�e of CantractorlLi�ensE Ho r
TE DF FW�iIDA �JO(A
i.1NTY OF
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to (or affirmed) and subscribed before me of
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Physical Presmt-
Online Notarization
th Fs ¢ day of,by
Name
of person making state
W
ii"",L_" q 10#'' F NA Y J. SHEA
Personally novae �, OR � Irrt � �:��� rsonaiiy Knows O ieW� & � r��
Type of Identification y�* **% �F� ��r � �.��� �,�F � � � � � CDmMExP� s r 19, 1
.crr�k�� r �r�'� 1 7 a du d �� kJr I Pei.t r
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(Signature of Notary Public- State of Florida � . (Signature of Noiaryubk- State of #1orida �
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rr issi n I r.� 'L (Seat) Camrni ion No.
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER RMEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COM P LETED
4