HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ,/•0//, `•-/ Permit Number:
S LUL;llL
--:_--- Building Permit Application
Planning and Development Services
Building and (:ode Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 CBDG Funding
PERMIT APPLICATION FOR: MUGGLI, JOHN JR.
PROPOSED IMPROVEMENT LOCATION:620 RUSS RD. FT. PIERCE, FL 34982
X
Address: 620 RUSS RD FT. PIERCE, FL 34982
Property Tax ID #: 3410-603-0009-000-2 Lot No. 244
Site Plan Name: MUGGLI Block No. A E
Project Name: MIIGC�ILL--
DETAILED DESCRIPTION OF'WORK:
REMOVE EXSISTING SHINGLES AND REPLACING WITH METAL ROOF
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 _ Plumbing Sprinklers _ Generator X Roof 5:12 _ Pitch
Total Sq. Ft of Construction: 37 SQ Sq. Ft. of First Floor:
Cost of Construction: $ 48.100.00 Utilities: _ Sewer _ Septic
Building Height:
OWNERAE.SSEE:
CONTRACTOR:
Name JOHN MUGGLI
Name: SEAN CARTER
Address: 620 RUSS RD
Company: LSCI INC.
city. FT. PIERCE _ State: FL
Zip Code: _ 34982 Fax:
Phone No. 561-317-0926 E-
Address: 7300 BRYAN DAIRY RD SUITE 400
City: SEMINOLE `_Mate: FL
Zip Code: 33777 Fax: 727-683-9854
Phone No 727-571 4141
Mail: MUG1GL110 HOTMAIL.COM
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail permits@suntecsolarenergy.com _
State or County License CCC1329896
-J
Iif value of construction is z5oo or more, a KCIVRUCLi 17VLIl.0 VI \..VIIll. ���.=_� ..• •'M"••"••
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
MORTGAGE COMPANY: — Not Applicable
Name:
Name: —
Address:
Address:
City: State:
Zip: Phone
City: `sate:
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 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 use-s 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.
ounty and posted on the jobsite before the first inspection. if you intend to obtain financing, consult
LucCN
I nder or an attorney before commencing work or recording your otice of Commencement.
re of Owner essee/Contractor as Agent for Owner
L-au—
STATE OF FLORIDA
COUNTY OF ST. LUCIE
Sworn to (or affirmed) and subscribed before me of X Physical Presence or Online Notarization
:� Li�-}(i9 14� I by
this 1cla°;
Name of person making statement.
Personally Known X OR Produced identification
Type of Id tifi r duced
(Signature f Notary P b c- State of Florida)
,os+P& Notary Public State of Florida
Commission No, (Seal) Frank M Perry Jr
c My commission GG 336129
a �► Expires 05/28/2023
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