HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 08/23/2021 Permit Number:
o Uo L n CE � .M RECEIVED
o L�I�J _AUG �� 12021
U A
Building Permit Application St. Lucie County
Planning and Development Services Permitting
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 CBDG Funding
PERMIT APPLICATION FOR: Ir dm ��na
PROPOSED -IMPROVEMENT LOCATION:
Address: 4949 N. HWYAIA FT. PIERCE, FL 34949 UNIT 213
Property Tax ID #: 1414-602-0086-000-8 Lot No.
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
Replace 10 foot of 2xl0 box beam and re -secure.
New Electrical Meter Second Electrical Meter (Affidavit required)
-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 _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 10 � 0126 Utilities: —Sewer —Septic
Building Height:
OWN ERAESSEE .:.
CONTRACTOR;
Name Breakers/Bill Heller Property Manager
Name: Curtis Melillo
Address: 4949 N. HWY Al A, Unit 213
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 @amail.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.
DESIGNER/ENGINEER: _ Not Applica
Name: _
Address:
City: _
Zip:
Phone
State:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: Not Applicable
Name: _
Address:
City:
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 attorney before commencing work or recording your Notice of Commencement.
2�-.UA"'
Signature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF ST. LUCIE
Sw Riwr affirmed) and subscribed before me of X Physical Presence or Online Notarization
tl ay of AUQUSt 2021 by
Name of person making statement.
Pers nally Known x OR Produced Identification
T e f Identification Produc -
ignature of Notary Public- State of Florida)
.%I lost HEATHER PRESSLEY KLINE
Commission No. '�'0�'-
HH 53976 (Seal) _� �,;Notery Public -State of Florida
_•®•= Commission # HH 53976
Commission Expires
My
October 15, 2024
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