HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLtTED FOR APPLICATION TO BE ACCEPTED
Date: 08/23/2021 Permit Number: °� \ 134E-' r1 101'1U
RECEIVED
Building Permit Application AUG 6 1 2021
Planning and Development Services St' `uo1e County
Permlttin
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 CBDG Funding
PERMIT APPLICATION FOR: CCJY1
PROPOSED IMPROVEMENT LOCATION:
Address: 4949 N. HWYAIA FT. PIERCE, FL 34949 UNIT 95
Property Tax ID #: 1414-602-0030-000-1 Lot No.
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIRTION :OF WORK:
Replace 20 feet of 2x10 box beam. New handrails &pickets.
New Electrical Meter Second Electrical Meter (Affidavit required)
CONSTRUCTION-INFORMATIO ,
Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters
Electric _ Plumbing _ Sprinklers _ Generator
Total Sq. Ft of Construction:
Cost of Construction: $ b-O'L->
Sq. Ft. of First Floor:
Windows/Doors _ Pond
Roof Pitch
Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE
s
CONTRACTOR:
Name Breakers Bill Heller Pro ep�ty Manager
Name: Curtis Melillo
Address: 4949 N. HWY Al A, Unites
Company: Melillo Construction, LLC
City: FT. PIERCE state: FL
Address: 3275 ARBOR OAKS LN.
Zip Code: 34949 Fax:
City: VERO BEACH state: FL
Phone No. 772-489-5359 E-
zip Code: 32960 Fax:
Mail: ruth203heller@outlook.com
Phone No 772-321-9517
Fill in fee simple Title Holder on next page (if different
E-mail melilloconstruction(ggmail.com
from the Owner listed above)
State or County License CGC1519590
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.
SIJPPLEMENTA'LCasNSTtUCTI'ON LIEN LkAW
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DESIGNER/ENGINEER: _
Not Applicable
MORTGAGE COMPANY:
_ Not Applicable
Name:
Name:
Address:
Address:
City:
State:
City:
State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _
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 conflicts with any applicable Homeowners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Homeowners 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 attornev before commencing work or recording your Notice of Commencement.
`-� Q ` d�
Signature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF ST. LUCIE
Sworn (or affirmed) and subscribed before me of X Physical Presence or Online Notarization
thi —day of AuquSt 2021 by
Name of person making statement.
rso ally Known x OR Produced Identification
e f Identification Produced
i
_" (VftQ'(
(Signature of Notary Public- State of Florida)
Commission No. HH 53976 (Seal)
HEATHER PRESSLEY KLINE
Notary Public -State of Florida
'=•
•= Commission 8 HH 53976
%+t o°;= My Commission Expires
October 15, 2024
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