HomeMy WebLinkAboutBuilding Permit App 3607SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
Name:
Address:
City: State:
Zip: Phone
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable I 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 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
witla4ender or an attornev hefore enmmpnrinv work or rernrdinv vnur Nntire of CnmmPnrPment_
natu of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA I
COUNTY OF
Sworn to before Physical Presence
(or affirmef)) and su scribed me of or _Online Notarization
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this day of O`TU?� 20_�I by
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Name of person making statement.
Personally Known - OR Produ ed Identification
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Type of Id tiflca ion ce tC PFi•6 •
(Signature of Notary public- State of Florida)
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
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All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
P ° Building Permit Application
Planning and Development 5ervices
Building and Code Regulation Division Commercial X Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 CBDG Funding
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: 1112 Kings HWY
Property Tax ID #: Lot No.
Site Plan Name: Block No.
Project Name: AutoZone 43607
DETAILED DESCRIPTION OF WORK:
Run 16 Cat 5e cables for voice and data
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
X Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction:$ 3,600 Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name
Name: Mario Popu
Address:
Company: Marval Integrated Security Systems
City: State: _
Zip Code: Fax:
Phone No. E-
Address: 336 Sterling Avenue
City: Delray Beach State: FL
Zip Code: 33444 Fax:
Phone No (561)827-0182
Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail Mario@marvaliss.com
State or County License EG13000559
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required. II
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
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