HomeMy WebLinkAboutpermit 6307 citurs aveAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
e C% Iu L 22 Building Permit Application
Planning and Development Services
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Building and Code Regulation Division Commercial Residential „
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-15S3 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT L CATION:
Address: 6 3 CD Ci Y u 5 Ave-,
PropertyTaxlD#: 3L104 _ ?o3' Ob t).a-- O00 _a Lot No.e%7 3
Site Plan Name: Block No,
Project Name:
DETAILED DESCRIPTION OF WORK:
ear e a a
Sect n S MgAc t 1 CL" a Utz Q r iQ\A ry%Q,VS�
New Electrical Meter Second Electrical Meter
[CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors _ Pond
Electric _ Plumbing _ Sprinklers _ Generator ,x Roof JJ Pitch
Total Sq- Ft of Construction: C95,76 Sq. Ft. of First Floor:
Cost of Construction: S C-20 Utilities: Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name k
Name: Gil k 1(1Q
Address: LI
Company: Fe (-'Q— C/OG '. '
City: a Q\\ State:=l
Address: 101 f. Sh
Zip Ccde:S�'1' g1C1 L Fax:
City: sl044- S�. Lu04- 5 t a t e
Phone No. q 0-6-,11a t' - �Q L{ 65
Zip Code:-Sq 98(4 Fax:
E-Mail:
Phone No'i-ial. -3`LO -'I -)"16
Fill in fee simple Title Holder on next page I if different
E-Mail"1�C Q Dta r` y� EL C rnq\ cj
State or County License'
from the Owner listed above)
If value of construction is 2500 or more, a RECORDED Notice of Commencemem is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement Is required.
q,
DESIGNER ENGINEER;
_Not Applicable
MORTGAGE COEM
OMPANY:
_ Not Applicable
Name:
Name:
Address:
Address:
City:
State:
City:
State:
Zip: Phone
_
Zip: Phone:
FEE SIMPLE TITLEHOLDER:
_ 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 Countyy 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 Home Owners Association 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,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residentlal 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 lender or an attorney before commencing work or recording your Notice of Commencement.
Of
STATE OF FL
COUNTY OF
Sworn to (or affirmed) and subscribed
AC Physical Presence or Onlir
this 30 dayy o
person m
Personally Known X— OR
Type of Identification
Commission No. G�aYydnit
REVIEWS I FRONT I ZONING
COUNTER REVIEW
gnature
STATE OF FL
COUNTY OF
Sworn to (or affirmed) and subscribed befor
is Physical Presence or Online No,
this $0 day of SP, 2020
Name of person making
0
Personally Known �.4 OR Produced
Type of Identification
3 m (Signature of Notary Publie,State of FI
eait V Commission No. G.ZT Yi9a. (Seal),_~—'
jSUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
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