HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ja lu l2o Permit Number: 0?010.06,`f
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`"' Building Permit Applicatio'n
Planning and Development Services
Building and Code Regulation Division Commercial Residential Y.
2300 Virginia Avenue, Fort Pierce FL 34982 '; ;
Phone: (772) 462-1553 Fax: (772) 462-1578 i•,; r�
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PERMIT APPLICATION FOR: NE W SIKI6LE FAWLY P_eSIOE;UCX
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Address: 04-' WAmri5cm6 wAY
PropertyTax ID #: 2.532 SDO,OOZq-^000 ^% Lot No. 10
Site Plan Name: Li 4q IWAffc6LSOf-Ya tu" Block No.
Project Name: 4SA6 WATEV—S0J4; DJAY
3 5 TOtLY (2-E5 I D B—NGE. WI TH UN I to RA-•$1 rA 13L'C &WO► 0 FLocP_
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New Electrical Meter
Second Electrical Meter
Additional work to be performed under this permit -"check all that apply:
_✓Mechanical _ Gas Tank _Gas Piping _ Shutters _✓Windows/Doors _ Pond
✓Electric v4lumbing _ Sprinklers _ Generator Roof IZ 'Pitch
Total Sq. Ft of Construction: 4600 Sq. Ft. of First Floor: L 1 q7
5 0
Cost of Construction: $ 71
_ ,�(0 Utilities: ✓Sewer _Septic Building Height: 3q
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Name G41540 ' ;UWW_A 'S:' ..,
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Name:=�GJr2fso5'.: LJ,41d;2/l;`•�ti�' �`''=f r•
Address; S.W„ (Gi7 7FzfLCL. '
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Address:
City: State: FL
Zip Code: 33157 Fax:
City: W A IA I State: fL
Phone No. 7$G 2_3(v S41 q
Zip Code: $3157 Fax:
E-Mail: dLC0PTYACTDA-S@ OWMCAST. MET
Phone No ?S(a.Z5(e• S41 It
Fill in fee simple Title Holder on next page ( if different
E-Mail CL.60k)T11A4-M1LSQdbKC4ST• JJE i
from the Owner listed above)
State o County License 666055070
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.
. , ,. ,
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 robm5 and accessory•u'ses,to ar other•I .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 inspect;lon. If you intend to obtain financing, consult
with lender or an attorney before commen'cin work or•recordin . 'our Notice of. Commencement.
Signature of Owner
STATE OF FLORIDAv
COUNTY OF l7ArDE
as Agent for Owner
Sworn (� ed and subscribed before me of
_Ls1SgLF1gsaPeeor Online Notarization
this -6L day of',1� ,�= 2020 by
G)V-�I,U5 • Lk157-A-
Name of person making statement.
Parcnnally Kno OR Produced Identification
on
Produc-ad
Signature of Contract License Holder
STATE OF FLORI
COUNTY OF
Sgrn ffirmed) and subscribed before me of
sical Prese or Online Notarization
tday o P, 2020 by
GILDS L�1-►�/j-
Name of per5on making statement.
ersonally Known OR Produced Identification
yp ica ion
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