HomeMy WebLinkAbout7630 Winged Foot Permit Application All APPLICAB E INF MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Elate: Permit Number:
u r- c IA. c c c- - Building Permit Application
Planning and Development Services
!:wilding and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 CBDG Funding
I)ERMIT APPLICATION FOR:
I:IROPOSED IMPROVEMENT LOCATION: t-
Address: I t? 3 P et,-)9 FcvT ( ? S-r LIK E, 13VC401
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Property Tax ID#: 'j �c__-) --313 000& —�` 1 Lot No. -'oc-
Site Plan Name: Block No�.)a- �
Project Name:
P)ETAILED DESCRIPTION OF WORK:
S 1 G-
bxDO S )PL-CdN��'s q J/ -M M 9a_�
-
-1,44uc� -v - .ra-� ►�— o
New Electrical Meter Second Electric" eter (Affidavit required)
t..ONSTRUCTION INFORMATION:
Additional work to be performed under this permit-check all that apply:
_Mechanical _Gas Tank —Gas Piping _Shutters _Windows/Doors _Pond
_Electric _Plumbing _Sprinklers _Generator '>< Roof 5 a- Pitch
To,:al Sq. Ft of Construction: )G-lCt Yas Sq. Ft. of First Floor: ae
Cast of Construction: $ JS, �� c L,
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE: CONTR CT :
Name l7 Name: �� IJ -Le ro Yr.I I M UU(
Address: 3�3P 4MGCQ fWT 6-T Company; L " b
City: - ; r/--
State Add s: ct�
Zip Code:3` ` Fax: Cityl�-1 I-e, L_ d StatU
Ph ane No. - ' o r E- Zip Code: 1_'2)Lq0 q Fax:
Mail: ' �'. /)2 Phone No I-)-
Fill in fee simple Title Holder on next page (if different E-Mail /)
from the Owner listed above) State or County License ��/j/' j� 2 j 6//
LLI
Aue of construction is 2500 or more,a RECORDED Notice of Commencement is required.
alue of HAVC is$7,500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: —Not Applicable M TGAGE COMPANY: _ Not Applicable
Name: Name:. _
Address: Address:
City: `~, State: City: State:
Trip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _-Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
,Address: Address:
City: City:
;i:ip: Phone: Zip: Phone:
OINNER/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
wl-ich 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 :onsideration 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,
ac:essory 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 attorney before commencing work or recording our Notice of Commencement.
Signature of Owner/Lessee/Contractor as Agent for Owner
S'f ATE OF FLORIDA Sr
COUNTY OF 7 ( �t1'
Sworn t((or affirmed)and subscribed before me of —?� Physical Presence or Online Notarization
this ay of �, 201 by
7',
Name of person making tatement.
Personally Known>_OR Produced Identification
Type of Identification Produced
ignature of Notary Pu ic-S ate of Flori ;� *r°o
/' 4Rr� Notary Public State of Florida
Commission NcS�_:-�Yztg f' (Seal) Desiree Fiexen
<, < My Commission GG 240NS
1400 Expires 07/22/2022
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
LCCI
TE
MPLETED
5/20/21