HomeMy WebLinkAbout225 E ARBOR AVE, PSL, FL. 34952 SLC PERMIT APPLICATIONAll APPLICABLEINFOMUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1 li1V��c2( Permit Number:
4 lu WED! a Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Farr Pierce FL 34962
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: �,\'h-�ef
PROPOSED IMPROVEMENT LOCATION: _
Address: = Llct
Property Tax I #: 5419 - 1- Lot No. c2
Site Plan Name: Qi vec ROC-- n: 01- 2 LLB+ inn 6 io Block No. &�2
Project Name: '-a
DETAILED DESCRIPTION OF WORK: . I(r jc'_r )0�► 44 LI Y_Q_Y-44\6
New Electrical Meter NP Second Electrical Meter Y'V
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters Windows/Doors _ Pond
_ Electric 4 Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ _I �X- 00 Utilities: — Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name ; °' 6-A
Name: Jvla .( IC
Address: �95 r�f&)c Iq _
_
Company: ` +tip u i
w�hi :C
City: f6rt 54-; to e _ State: FL
Address: 45 &wLwr
Zip Code: 34ng _ Fax:]�L2-%11-9L�q
City: i
State: C
Phone No.(20h _012,50 -1099$
Zip Code: Fax: -77.2-S
1-' '062 %%
E-Mail: �rYva'#SQi2Fn&cAKiG11Y10J/ wttie/:lOW1
Phone No1�19
Fill in fee simple Title Holder on next page ( if different
E-Mail rItl�Irv�01►
�cu�a?r CL3�'��
from the Owner listed above)
State or County License ejtLC /y3jrY-13
If value of construction is 2500 or more, a RECORDED Notice of commencement is requirea.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: -Not Applica
Name:
Address:
City: State
Zip: Phone
FEE SIMPLE TITLE HOLDER: Not Applicable
Name,
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: )LNot Applicable
Name:_
Address:
City:_
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 is in conflict with any 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.
Inconsideration of the granting
ra rtoveof this d plans, Florida Building CodesI do andstel_uc►ethat
Coulnty Amendin all meentsperform the work
in accordance with the approved
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 ttorne before commencin work or recordin our Notice of Commencement.
re of yunerJ ssee ontractor as Agent for Owner
Signature of ContracTor/License Holder
STATE OF FL!ML
I STATE OF FLORIDA
COUNTY OF `� I,1�A i COUNTY OF N 4 EICAC �C —
S rn to (or affirmed) and subscribed before me of
1Physical Pres nce or Online Notarization
this day of
ILIVl 202f by
Name of pers6 making statem nt.
Personally Known OR Produced Identification,/
Type of Identification
Produced 71
Swq�n to (or affirmed) and subscribed before me of
1/ Physical Pres nce or Online Notarization
this J_j day of 2020 by
+li- --
Name of person making statement.
Personally Known ✓ngOR Produced Identification
Type of Identification
Produced
Q�c,C ?"(' L. -
(Sig a t.,,s..�
,EULiE JANE M{CAULEY ; <�f' JUi.IE JANE MCaEY
r� Nits Public • StuNotary Public - State of Florida ealCom S30ry�s' 9112afr.M Comm. Ex iry My Comm. Expires Oct 1, 2024 Y Pres
Bonded through National Rota Assn.
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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MANGROVE
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