HomeMy WebLinkAboutPERMIT 5009 JUANITA AVEAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number.
Planning and Development Services
Building and Cody Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Building Permit Application
Phone-. (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
IPROPOSED I
Address: S �
Property Tax I D #
Site Plan Name
Commercial
CBDG Funding
�:r.• fives � . �" �`�Q*ems-��fi
r
Residential
"tL C'9 , 5 ``�`7 11 �
W 31 - �83 -coo 2� - o00 - � Lot No.
Project Name:
New Electrical Mete
4 —
P C�
r Second Electrical Meter.
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RUCTION INFORM,' 'R�,•�4 '�+ i-`:ice �'S �' k'� �'}�/ti' S'J �.�.ti• �1
.-
Additional work to be performed under this permit — check
_Mechanical _Gas Tank _Gas Piping
(Affidavit required)
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all that apply:
Shutters
t310CK NV.
i " J
Windows/Doors _Pond
Electric . PlumbingGenerator Roof Pitc��
Total Sq. Ft of Construction: ) 12 & Sq. Ft. of First Floorm.
Cost of BUtilities: Sewer Septic Bailin Height:� ratrt��*
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x�city: OC6
Zip Code: F a,4cx,%we, State:
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E.-Mail: TI
MEEEWWP__�
Fill in fee si
from the O
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le Title older on next page (if different E-Mail �: 9Z� N^o•' .
er listed above) State or County License zq 300?%8 EEEEW�
If
value
of
construction is
ZS00 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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NTAL LA
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SUPPLEME CONST-RUCTI N LIEN INFORMATION
DSIDE ENGINEER
Not Applicable
MORTGAGE COMPANY, NApplicable
Name: 0
Name.
ress0
Address.
City:
State, Ci t y State.
Zip: Phone Zlp
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY, ..,Not Applicable
Name:.0
Address" Name.
Address;*
City:
city*
Zip@ 1P
-EMPENEENEENEEMENEENIFEbm Phone: zip@ Phone.
OWNER/ CONTRACTOR AFFIDVIT: Applicationis hereby made to obtain a permit to do the work and installation as indicated.
I certify that no work ar installation has comm enced prior to the issu a nce of a permit.
St. Lucie Coun�y makes no representation that is granting a permit will authorize the permit balder to build the subject structure
which is in conflict with an applicable Home owners Association rules bylaws or and cvvenants that ma restrict or rohibit such
structure. PEease consult �ti�th your Home Owners Association and reviewour 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
accessory structures, swimming pools, fences, walls, signs, screen room
a full cancurrency review: room additions,
s and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result 1b in paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of S
Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consu
with lender or an attorney before commencing work or recording your Notice of Commencement..
signature or contractor - or - Uwner tsuimer as appimaoie
STATE OF FLORIDA
COUNTYOF !6k.l.Qekk
to
It
Sworn to (or affirmed) and subscribed before me of _Physical Presence or Online Notarization
this k Lday of f)ock 20by '
n
Name of person Ma -king statement.
Personally Known DR Produ
Type of Identification Produced
cgd Identification
L �
(Signature of Notary Mblic- State of Florida )
Commission No.
p p1GIVENS
704
�,.-- -4 r'`.� Notary qu
c •Site off,
comm1sE��res Jam 196359 201MyComm. DAssn.
" Bonded through
Nadona� sotary
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
RCY 1V/1L/1j