HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO -MUST BE COMPLETED FOR APPLICAT1011i TO BE ACCEPTED
Date: �, I O - I (O c
Permit Number• _ I -k
mama RECENED
SEP 17 2021
Building. Permit Application st. Permitpng"ry
Planning wind DevelopmentServfces
Building and Code Regulatlon Division- Commercial Residential
2300 WrginloAvenue, Fortplerce FL 34982
Phone: (772) 462-9553 Fax: (772) 462_1578
'PERMITAPPLICATION FOR:
/�'/ Xis
PROPOSED' LMPROVEMEENT LOCATION:
.Address: 70cS,-f—
Property Tax 1Dy#:
Site Plan Narne.-
Project Name:
DETAILED--DESCRIPTIO OFWORK:
New Electrical meter —Second Electrical Meter
CONSTRUCTION INFORMATION:
Lot No. 02 /
Block No.
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 Pitch.
Total.Sq. Ft of Construction: _3_ Sq. Ft of FrstTloor:
Cost of Construction:.$ R, OdO �'"' Utilities; _Sewer `Septic Building Height:
OWNER/LESSEE: - - -
r•r$nrrn a �-r�..
City: _E )�•State: �L
Zip~Cade: 3 y9.5/ Fax:
Phone No.,77e2
E-Mail:
Fill in fee simple Title older on �extpage ( if different
from the Owner listed above)
City: SG`or ` " state:G
Zip Code• �/q� Fax:
Phone Nof, . .' r _2rp7
&Mall h 64.0 n s t dD (2n+?4';41 eoyn
State or County license CSC'
If value. of rnnstniction is°2500 or more, a- RECORDED Notice of Commehcemer:t is regt
If value of HAVc is s7,5oo"or more, 4 RECORDED;Notice. of Commencement Is required.
SUM MENTAL CONSTRUCTION LIEN LAVA INFORMATION:
Z.
City:
Zip:,
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:.
city:
Zip- Phone*.
-------------
OtNN
MORTGAGE COMPANY: Not Applicable
Name:
Address:
City: State:
Zip= Phone:
BONDING COMPANY:
Name:-
Address-
City:
Zip: Phone:
ER/ COl14TMAL- OR AFFIDVIT: Application Is hereby made to obtain a permit to do the work and Installation as indicated.
I certifyatat no work or, installation has commenced prior to -the issuance of a. permit.
Stich is in coilltv makes no representation. that is granting a,permit will authorize the permit holder to°build the subject structure
which is eeas ct with wit applicable Home Owners Assodation 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 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 solo sir building permit applications are exempt from undergoing a full concurrency review: room additions,
accessorystructures, swimmingpools, fences, wails signs screen
rooms and accessory uses to an non-residential use
1AtAR. KING 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.
withLucie County and posted oil the jobsite before the first inspection. If you intend to obtain financing, consult
lend ran attorney beforecor„mpnr-incr%.%,,i,�_.,,..,._.,_o._____..
_ - - -•�•• �--t mracror as Agent for Owner
STATE OF FLORID
COUNTY OF p
SwpQ to (or affirmed) and subscribed before me of
,h, ysical Pre nce or Online Notarization
t is day of
2Q2L by
Name of p son make tatement.
Personally Known C v . OR'ProducW identification _
Type of ldentifcation
Produced
6) C 1 _ . C _ I i.
Commission No. 3 g Syr mNotary Public State of F
I�une Merritt Woodard
- My Commission HH 03E
or n Expires 09/07/2024
STATE OF FLORIDA
COUNTY OF
�
Sworn to (or affirmed) and subscribed before me of
--tom Physical Pres nce ors_, Onllne Notarization
this, day of 24 Z� by
i�
Name of pe-116on -a statement.
Personally Known 10 ,OR Produced Identification
Type of Identification
Produced
of Notary Odblfc state of
No.
TREVIEW
REV WSFRONT ZON1iVG SUPERV150RCOUNTER REVIEW REVIEW VREV1E11oN
'ATE
�►"* ry� (!C�
Public State of F
Q`SMerntt Woodard
rr"."-on l' 035
s 09/07/2024
SEA TURTLE MANGROVE
REVIEW REVIEW