HomeMy WebLinkAboutBuilding Permit Application OCT-2e-2021 10:37 FROM:ACE PLUMBING, INC 7725678494 TO:17724621578 P.1/3
All APPLICABLE INFO MUST BE COMPLETED FO§&e?$�1'ION TO BE ACCEPTED `
Date: 101 Z�� 7.s�27 Permit Number: `'O O �S3
OCT 2 8 2021
RECEIVED,
St.Lucie County,
Permitting rr'T 2 8 2021
gelding Permit Application
Planning and Development Services . County
Building and Code Regulation Division Commercial ~� Residential i a-r"tting
.2300 Virginia Avenue,Fort Pierce Ft 34982
Phone:(772)462.1553 wax:(772)462-1578 CBDG Funding
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: 'd�1M 3 ]4L1t I :Q iA �]00
Property Tax ID#: ��a�5•�Al^M -fY')�-1 Q-�l(�(,`� Lot No,
Site Plan Name;••ThMAQ crr► 11 (� iC� -1��i �.1�� Block No,
Project Name:
DETAILED DESCRIPTION OF WORK:
New Electrical Meter—Second Electrical Meter (Affidavit required)
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all that apply:
_Mechanical —Gas Tank —Gas Piping _Shutters Windows/Doors _Pond
_Electric _!!f'plumbing —Sprinklers —GeneratorRoof Pitch
Total Sq.Ft of Construction, Sq.Ft,of First Floor:
Cost of Construction:$ lid ,( ? Utilities: —Sewer Y Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
NameY'(1iC)0QaJ 14-D. 1ww-— e_ Name
Address: I1r3 rie 3n.a.er— Company: 74,y R V111akh12 tiic .1*'r—
City:n n.n 1 e State:J�C- Address: 1„1 !4 19110L C. P
Zip Code:z 3 a A I Fax: City:'1r&_,1r, 'Jf:aC,,)3 State:V
Phone No.1,g5L1-0A.21-%4 r% E- Zip Code:�3 2GT loz" - wax: "- R95
Mail; Phone No!7n2- r2142—:317YD
Fill in fee simple Title Holder on next page(if different E-Mail 8-C,g.OA I A vml lung)g!bJmCarail
from the Owner listed above) State or County Ucense�f�iCC,_/L3
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.
OCT-28-2021 10:3e FROM:ACE PLUMBING, INC 7725678494 TO:17724621578 P.2/3
SUPPLEMENTAL CONSTRUCTION LIEN LAIN INFORMATION:
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 15 hereby made to obtain a permit to do the work and installation a5 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 ggrantin a permit will authorize the permit holder to build the subject structure
which conflicts with any applicable HomeownersAssocia Ion 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.Lucle 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 our Notice of Commencement.
Sign Cure of nerf lessee Contractor as Agent for Owner
STATE OF FLO I A
COUNTY OF � � \l�- f
Sw to(or aff! "'and subscribed before me of Physical Presence or Online Notarization
this day of 2(`�j,by
cam C.1C�; -�� -
Name of person m(a'kiinng statement.
Personally Known `- OR Produced Identification
e of Identification Produced
(Signet re of Notary P ic- cats a o Florida) dj?'w- �P\
; APRiL RENEE CARiNI
Notary Public S1atQ of FloridaCommission No, `llseat) 1 Cammhdpn a HH 15384►
My Comm.Expires Jul 20,2025
llonded throush National Notary Assn.
REVIEW$ FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE .
RECEIVED
�DATI�PLMD