HomeMy WebLinkAboutWright, Patricia Permit Application 1i
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date::I� Permit Number:
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 CBDG Funding
PERMIT APPLICATION FOR: _?0�vx'c. T,
PROROSED IMR,ROUEMENT'LOCATjION
Address: )VtQtSh Ter Rofk g.{ LuGi FL 3�14$to
Property Tax ID #: 33a1 — g(jUt— p0 41:� — CM— (0 Lot No.
Site Plan Name1t6irb\'+ls.t-l�;ncl 5512, N) Block No.
Project Name:
MOO -'rmRc.IA 40'.ize. 4td S"zc.
New Electrical Meter Second Electrical Meter (Affidavit required)
CONSTCTIQN INFQ;RMATION:"
Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters
_ Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ Xr Dw-
_ Generator
Sq. Ft. of First Floor:
Windows/Doors _ Pond
Roof Pitch
Utilities: _Sewer _Septic Building Height:
•' ..
OWNS-R LESSEEx: .n,''.sfx
CONTRACTOR E
a .
Namea�c'.C;.w (Wc'.�M�
Name: :Ck (�,(Dfint.Lrl
Address: '(31!j iUn�S1.� Ttr•
Company-.Moepn fkir2.r%otS 1�;nd<u"f��Sldir� oo
City: ?00t ,A. LA,C;,.e. Stater
Zip Code: 5WLVo Fax:
Phone No.15ca) (06 \— (073tp E-
t
Address: (a).,t UAJt a \p)or-k1.. Q��6.
City: Gfe.¢.:r' amri S State:
Zip Code: 33t1•(n3 Fax:
Phone Nok%l) U1t}t-i— ti m is
Mail: \�w1�c_? - r-ccA • C•(S rn
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-MailW�kl�w\rt�OiF;CC e�Npfgr�rtfot`Ji�1C•CO
State or County License Q%,t \3311\Q
It value of construction is 2590 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.
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Name: _
Address:
City: _
Zip:
State:
MORTGAGE COMPANY:
Name:
Address:
City: _
Zip:
FEE SIMPLE TITLEIiH qER:
_ Not Applicable
BONDING
Name: iui
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip;
Not Applicable
_Not Applicable
vvv l.ony wi.1 nrau vn mrnuvt t : 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 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 attornev bp_fnrp rnrrlmpnrinp uinrlr nr rprnrrlino ,n,,r rumfiro . f r.,.....,o..,o,.+
Signature of Owner/ Le,.,a/Contractor as Agent for Owner
STATE OF FLORIDA n
COUNTY OF ®YQrio�L _( "purlhl
Sworn to (or affirmed) and subscribed before me of Presence or Online Notarization
—/Physical _
this �4f clay of VC-fObe( 20. t by
Name of person making statement.
Personally Known Z OR Produced Identification
Type of Identification Produced
(Signature of Notary Public- Staaytte
rl �ioj�fg�Fllorida)
Commi ' t. k' t
fjiPl�2Y-1- . 210
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N II111
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev n/2u/u