HomeMy WebLinkAboutBuilding Permit Application OCT-28-2021 10:28 FROM:ACE PLUMBING, INC 7725678494 TO:17724621578 P.1/3
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED I
Date: C) • �� •0 Permit Number:.
SIX.L�`;{00 RECEIVED
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Building Permit Application OCT 2.8 2021
Planning and Development Services St.Lucie County
Building and Cade Regulation Div.Won Commercial � Residential Permitting
2300 Virginia Avenue,Fort Plerre FL 34982
Phone;(772)462-1553 Fax:(772)462-1578 CRDG Funding
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address:
Property Tax ID#: 1 y Ci �,p(�p— �pq - Lot No._
Site Plan Name:Snag 3 Mg :B. - CZM,4,%= Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
New Electrical Meter Second Electrical Meter (Affidavit required)
FCONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all that apply:
_Mechanical Gas Tank _Gas Piping _Shutters Windows/Doors _Pond
Electric P umbing _Sprinklers _Generator Roof Pitch
Total Sq.Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 1.1rt '] .rXn Utilities: _Sewer _,,,Septic Building Height:
OWNER/LESSEE: CONTRACTOR;
Name Name: lows 34 W ''14.rPj
Address: 11on T4 %�La3 j '01A V la(1 O 5 Company-.' ke 2 LA)VD TA10 =7h
City: fr4- f;"ec State:jrj Address: Lp6 5 ' 3
Zip Code: Fax; City:11= K�PG&-jn State:-J LL
Phone No. E- Zip Code; 17,41162
Fax: s1 - (O"I; 49W
Mail: Phone No
Fill In fee simple Title Holder an next page(If different E-Mail 321 mock) domf OAS
from the Owner listed above) Stare or County License a iav r1--4:a r�
If Value of construction Is Z500 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.
DCT-28-2021 10:28 FROM:ACE PLUMBING, INC 7725678494 TO:17724621578 P.2/3
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: —Not Applicable
Nama: Namo:
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 an 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 OWNED: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.
A Jt-JA'l
Sign lure of ner/ essee ontractor as Agent for Owner
STATE OF FLO InA
COUNTY OF '
Sw to for afflr ed)and subscribed before me of Physical Presence or Online Notarization
thisC4Tv day of 2Q�by
Name of person making statement.
Personally Known OR Produced Identification
e of Identification Produced
(Signal re of Notary Public- fate o Florida)
APRIL RENEE CARINI
Commission NAA ,A (Seal) ) Notary Public-State of Florida
�( COmmisslon 0 SH 113841
My Comm,Explrrs Jul 20,2023
Boatled through National Notary Assn.
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED.
Rev 5/20/21