HomeMy WebLinkAboutSand Dollar Shores Building C Permit ApplicationAil APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: - Permit dumber:
711
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LC Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2.300 Virginia Avenue, Fatt Pierre FL 34982
Phone: (772) 462-1553 Fast. (772) 462-1578
PERMIT APPLICATION FOR.
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Address: T 4Q QLa !--' .'7t'.S
Property Tax lid C bldg. 3522-604-0000-000-6
Site Plan Name:
Project Name; �"�°
New Electrical Meter - -- Second Electrical Meter. (Affidavit required)
Additional work to be performed under this permit-- check all that apply:
,_,,,,,Mechanical r Gas Tank _ Gas Piping
,,,,_ 0e0r1c — Plumbing ',,,_, Sprinklers
— Shutters _ _ Windows/boors — Pond
_ Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 2 Lo . 0 0 Utilities: — Sewer _, septic
Name '►CtI YJ6/lat-(3,"4(Z,S
Address:-Y)D6_ r, r) r. e-. b,--,
City; c..J / X—el) ' Q ' L, State.'-'�
Zip Code* 1117 -- Fax;
Phone No. Zd µ s
E-Mail;_Sl-).)d r r67--, 6) Cawywl , A, , "
Fill In fee simple Title Holder on next page ( If different
from than Owner listed above)
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wilding Heights
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Company:
Address;_/C306 _ ' }el
City: ..2 r".,� state.,
Zip Code: — Fax:
Phone No
E-Mail PlacKs )rc - i d)-' l) C pn,,,q i. G
State or County
If value of construction Is 2900 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.
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City:
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BONDING COMPANY:
—Not Applicable
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OWNERS 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 matte no representation that Is granting a permit will outlhorize the permit holder to build the subject structure
which is in conflict wit any applicable Home Owners Association rules, by awst� r aq covenants that may re5tract or pr Ibit such
structure. Please consult with your Horne Owners Association and review your tieerl or 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 mist be recorded in the public records of St.
Lucie County and psted on the jobsite before the first Inspection, If you Intend to obtain financing, consult
wfth nder or 0 aVorney Before commeric ng work or recording your Notice of Commencement.
of'iS*er/ Lessee/contractvf as Agent for Owner
STATE Ols,"Rl A
COUNTY OF t5 y_ UZ
Sworn to (or affir era and subscribed before me of , f Physical Presence or_ Online Notarization
thls2L Clay of %20a by
Name of person making statement.
Personally Known V OR Produced identification
Type of Identification Produced,_ ,
of Notary Public- State
Commisslon No, (_ (deaf)
REVIEWS FRONT ZONING
COUNTER REVIEW
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Notary pubfio Mete of pWda
Nexandra Kuser
My Commisaioq a0 239301
expires iar2612022
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