HomeMy WebLinkAboutBuilding Permit App - mavica building All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date ; 10/27/21 Permit Number:
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_ _ ___ ___ _.__Building-P-ermlt application-. --.._._.— �J
Planning and Development services X
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone : ( 772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR :
PR� b� EL��7Mp;R01{EJuIENTCgl011,_ 01 Zee
Address : 1010 Saeger ave
Property Tax lD ff; 3403-502-0276-000-2 Lot No,
Site Plan Name : Block No. _
Project Name: joshua maviea
own
LIKE FOR LIKE DUCT WORK
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New Electrical Meter Second Electrical Meter
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Additional work to be performed underthis permit — check all that apply :
xMechanical _ 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 ; $ 5370 . 00 Utilities : _ Sewer _ Septic Building Height :
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OWEfj�1 ESSEI r V _, . _ t CCIN fAGJ OR 3
Name. Joshua matr. ica Name: Christopher Langel
Address : 1010 saeger ave Company: Sea Coast A/C and Sheet Metal Inc.
city ; fort pierce State: fl Address : 3108 Industrial 31st Street
Zip Code : 34982 Fax: city; Ft Pierce State : FL
Phone No. 561 -702- 1457 Zip Code : 34946 Fax: 772-448-4416
E-Mail ; Phone No_772-466-2400
Fill in fee simple Title Holder on next page ( if different E-Mail Info(LDsea ozatair c E3
from the Owner listed above) State or County License CMC035421
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.
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St7PF l EM1 N tA� G0NSTJ3 � CTIQt� I �N
DESIGNER/ ENGINEER : _ Not Applicable MORTGAGE COMPANY: Not Applicable
Name : Name :
Address : Address:
City: ^ State : City : Stater
— - Zip:— - -Phone-
FEE SIMPLE TITLE HOLDER: _ NotApp) lcable 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 Coon ty makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with anV 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-eranting of this requested .permit, I .do hereby agree that. l_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 roams 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 aan9 attorney before commencing work or recording our Notice of Commencement .
Signature of Owner/ Lessee Contractor as Agent for Owner v Signature of Contractor/License Holder '..
STATE OF FLO I A STATE OF FLOIFgO1qAp,
COUp COUNTY OF 3l I CaC f E�
Sydprn to (or affirmed) and subscribed before me of Sv�orn to (or affirmed) and subscribed before me of
Physical Presence or online Notarization Physical Presence or Online Notarization
this 27 day of October 202 ( by tills 27dayof October 2021 by
nVi 5 -1-nn , l' L} rj Yin P,l nt ri 5n� her
Name of person milking statement. J ame of person making statement.
Personally Known OR Produced Identification Personally Known /\ OR Produced identification
Type of Identification Type of Identification
Produced Produced` '....
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ignature of Notary Public- State of Florida ) (Sign ture of Notary Public- State of Florida )
Commission No. �, (Seal ommisslon No, ��
ay' o,, JUSTINAIMOP06 CON NELL a ?Y .; JUSTINAL, HOPKINSCONNE L
fEtt SSION A 60 940 8
g� `u� EXP ES: December17, 20 3
REVIEWS FROM t 1 ( PIRE �V "' i � S LANS VEGETATION t�fi6 nd�a NclalflR e I
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COUNT ThmNo ennnrs _VIEW REVIEW j
DATE
RECEIVED
DATE
COMPLETED
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