HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 6/1/21 Permit Number:
21T. 1LU QLE
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p... Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Commercial Residential x
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: 2401 Melon Court Fort Pierce, FI 34982
Property Tax ID #: 2421-605-0024-000/0
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
Lot No.
Block No.
put roof over entrance and patio AtIP W 90ai- uA�?T q 5 IV--WL 64t Z(0 J�
IV #Zt- ST/L-� P 006YIC-L -
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
Electric _Plumbing _Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ , 00c). 0D
Generator
_ Windows/Doors Pond
Sq. Ft. of First Floor:
Roof Pitch
Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Mafaldo Benitez/ Maria Cuellar
Address:2401 Melon Court
Name:
Company:
Address:
City: State:
Zip -Code: Fax:
Phone No
City: Fort Pierce State: _
Zip Code: 34982 Fax:
Phone No. 772-409-7213
E-Mail: mafaidocruz@gmail.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail
State or County License
It value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name: Raul RWalla
Name:
Address:138 SE Naranja Ave
Address:
City: PortSt Lucie State: Fl
City: State:
Zip:34983 Phone772-871-2457
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 County 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-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 the jobsite before the first inspection. If you intend to obtain financing, consult
with lender or an attorney before commencing work or recording our Notice of Commencement.
Y Imea,Pl.LI! c8 nc (J/Z 0
Signature fo Owner/ Lessee/Contractor as Agenf for Owner
Signature of Contractor/License Holder
-
STATE OF FLORIDI`J
STATE OF FLORIDA
COUNTY OF ;
COUNTY OF
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
Physical Pre nce or Online Notarization
this Q day of (' 202k by
Physical Presence or Online Notarization
this day of 12020 by
Name of per. making statement. 0
Name of person making statement.
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
P duced
Produced
g ture of Notary Nu 499(Signature
of Notary Public- State of Florida )
Commission No. : � � �INWiORAM•RAHMING
H: ION #GG2?5060
EXPIRES. December 20, 2022
0
Commission No. (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS VEGETATION SEATURTLE MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 5/6/20