HomeMy WebLinkAboutMacanics Permit appAEI APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Planning and Development Services
Ferret Number:
Building Permit Application
Building and Code Regulation Division
2300 Vfrginir� Averaue, Fart Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
Commercial
CBDG Funding
PROPOSED IMPROVEMENT i nCATICINI Is
Address,-,
Property Tax ID #:
"Os
�4 )
LL)
} �i i Pill
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
iac I? eA i � ��n ,
New Electrical Meter
Residential
a n 4�- f
{(4
Second Electrical Meter (Affidavit required)
CONSTRUCTION INFORMATION10...
Lot No., Y
Mock No. 7 I
Additional work to be performed under this permit — check all that apply:
,Mechanical � Gas Tank � has piping _Shutters Windows/Doors Pond
Electric � Plumbing � Sprinklers � generator Roof Pitch
Total 5q. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ ` ` Utilities: � Sewer � Septic Building Hight:
OWIVER/LE55EE: C�NTRACTDR:
N a m e .
��-� Name: _ -•, -, ,•s
Ad d ress . company: � IJA
City:
ri., 5e-•
e, Stake: Address: to,
dip Cade: I q,% I Fax:
City: State: t��-
Phone No. E- ZipCode. � ..�
5 Fax:
Mail: �Phone No �� ���--�►t�
Fill in fee simple Tine Holder on next page cif different E-Mafl�
from the Owner listed above) at r County License c. � � dt I
If 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,• y'Not Applicable
Name: Name:
Address: Address:
City: State: Citya State:
zop: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: ot Applicable BONDING COMPANY: j,----,Not Applicable
Name: Name:
Address: Address:
City; City:
Zip Phone: Zip: Phone:
nuinicv/rnPwronrrnn wrr,.,...-w. .. _
IVWAIM �N'%/ JAIrr- ILTVf I : Application i hereby made to obtain a permit to o th- work and installation as indicated,
1 certify that no work or installation has commenced prior t the issuance � any of a permit.
St. Lucie County ano representation that is rantingrit will authorize
which conflicts with an aI r the �� it holder �� build ,t�subject �tr����-
a ble Homeowners S Ciati n rules bylaws r" andcovenants t� .
structure. Pleaonsut ityour H Gme� �� � restrict ��` prohibit such fir restrictions which may apply.
In consideration of the granting of this requested permit, I do here r�
� � e that I will, in all repect� erform th or
in accordance with the approved plans', tyre Fla ri a Building Codes a nd St. Lucie
The following building permit applications are exempt from undergoing a full cancurrency review-, room additions,
accessory structures, swimming goofs, 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 pasted an the jobsite befo re the first inspection. If you intend to obtain financing, consult
with lender or an attorne before commencing work or recording Notice of Commencement. -
Signature of owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF
Sworn to (or affirmed) and subscribed before me of physical presence or Online Notarization
this �l �A_day of � � 20 3 I by
Name of person making statement.
Personally Known OR Produced Identification
Type of Identification Produced
(J
gnature of Notary Public- State of Florida)
Commission Noj�4--1`}^ 5o{IUB z Vi!ady soildxi
REVIEWS
DATE
RECEIVED
DATE
COMPLETED
WA
FRONT
COUNTER
cI 'I VN-1r
ZONING
REVIEW
�IL 9.
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fd
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW