HomeMy WebLinkAbout380 NE SOLIDA DR. PSL, FL. 34983 SLC PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Date: k —!I L r�. ( Permit Number:
ST.I CIE
COII NT1Y ..,
F PiAQWwRigi
Building Permit Application
Planning and Development Services
Building and Cede Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Property Tax ID #:
Site Plan Name: Q,v2t C i� D2 7�
Lot No. L�
Block No. '��
Project Name: ~
DETAILED DESCRIPTION OF WORK: �,jl —f t
New Electrical Meter42ASecond Electrical Meter
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: $ S—q!:—�OCD Utilities: _Sewer _Septic Building sleight:
OWNER/LESSEE:
Name �
Address:
City: k, State, L
Zip Code: Fax:
Phone No. " $b
11Ct�
E-mail: i
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above}
CONTRACTOR:
Name:JYVLtA
Company:
Address: 01k
City: Stater_ .
Zip Code:Fax:a-R� l-9Dfc
Phone No 7 r 1 LI
E-Mail rIL C L
State or County License Ct:Z f* J43� �-
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAIN INFORMATION:
INFER: X Not Applicable
Name:
Address;
Citv: __ _ State:
Zip; _— Phone
FEE SIMPLE TITLE HOLDER:
Name, _____--
Address. �—
City: __
Zip: Phone;
C Jot Applicable
MORTGAGE COMPANY:
Name:
Not Applicable
Address:
City: State;
Zip: — Phone:
BONDING COMPANY: Not 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.
l certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County malts no representation that is granting a permit will authorize the permit holder to build the subject structure
which is In conflict wit-) any, app:Icable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please con.uit with your Home owners Association and review your deed for any restrictions which may apply.
In consideration of tl•e granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
In accordance with ti�: approved plans, the Fiorida Building Codes and St. Lucie County Amendments.
The following building permit applications are exi~mpt from Undergoing a full concurrency review: room additions,
dential
accessary structures, swimming pools, fences, wails, signs, screen rooms and accessory uses to another n nJrtw twice for use
WARNING TO OWNER: Your failure tc Record a Notice of Commencement may result in pay
improvements to your on the •.obsitelce of Commencement must be recorded in the before thefirst inspection. if you intend to obtain financing, consult
Luce Countof St.
y and post J
lender cr an attorney before commencing woor recording our Notice of Commencement -
with,
tore
nt ,actor as Agent for Owner
STATE OF FLORIDA {
COUNTYOF�c; Lug----
s7n to (or affirmed) and subscribed before mP of
Physical Pre price or Online Notabryzation
02fthis il�o_ day of
Name of person ma< ng sta'ternert.
Personally Known __ ✓ OP. Produced Identification
Type of Identification
Produced — —
4WVV
JULIE JANE MCCAULEY
Notary Public • State of Fl46W
�g Hif 49824
My Comm. Expires Oct 1, 2024
Bonde=RONT ZONING
COUNTER , REVIEW_
RECEIVED
HATE
Holder
STATE OF FLORIDA Lt
COUNTY OF_, --
Sw7i't to (or affirmed) and subscribed before me of
Physical Presence or online Notarization
this 4,a day of 202f by
Name of person making statement.
Personally Known OR Produced Identification
Type of Identification
Produced
(Sign
3(,•t6 Notary Public • State of Flar)
commiss€o l� r HH 49824t
My Comm. Expires Oct 1, 2024
Bonded through National Notary Assn.
SUPERVISOR PLANS ! VEGETATION SEA TURTLE MANGROVE
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