HomeMy WebLinkAboutWatkins Permit App ( St Lucie SS ) All APPLICABLE IN FO M FIST A E CC IVIPLETE D FO It APPLICATION TO BE ACCEPT ED
Date- Permit N utnber:
� 7 /
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F
Building Permit Application
Phmri ing and DevOopm ent Service-s �p
Bull my and Cade Reg Warion V+visian Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone, �7721462-1.553 Fax; (772) 4 62-157 8
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address; ti Ir1
ti
I�rgr#y Tax I #: I M �' Lot No,
Site Plan Name: l"-!�o Block No,
Project Faroe:
na i2Q :Reo r-
DETAILED D ESCRI PTf0 OF WORK:
�'n Jn
New Electrical Meter Sewn d E I ec'tri ca I M eter
I
CONSTRUCTION INFORMATION;
Additiu-nal wir rk to he perl-ormed under this permit - check all that apply
_mechanical —Gas Tank _ Gas Piping _ Mutters iVindows/Doors !, Pored
Electric _ Plumbing _ Sprinklers _ Generator Roof Ila. Pitch
TQta I Sq, Ft of Constructi-on: a 17 S q, Ft. cf F I rst F[na r
Cost ofGonstruction. 100 U VIM es- _ Sewer _ Septic Building Meight:i
OWNER/LESSEE- C O TRAL70R'+
Narne yl rn dame; ')�Y) F's
Address; 55Za CWTVU - Company .3
City_ �- 5tat&J Add re5s;
Zip Code; _�W,151 Fax; City: TLyv+. tate;
Phone N _ y Zip Code: Fax; -
E-MJail Phone No
fi 11 in fee si m p le Title Hol d er o rs next Rage if different E-W'
from the Owner lasted above) State er Courty Li se
I f-vai u e a f ca nstructao n is 2 500 o r mover a RECORD ED Notice of Co rnmencement Is reRu Ired.
tf vaIue of F AVC i!s $7,500 or more, a RECORQQ D Notir.e Of Cemmene-emerit is requir ,
SU PP LE M ENTAL CO NSTRUCTIC N LIE N LAW I N FOR NATION: -
DESIGNER/ENGINEER; Not Applicable MORTGAGE COMPANY. Lint Applicable
Name, _ Name;
Address; Address: _
City: State: City. _ State.
zip: Phone Zip:
FEE SIMPLE TITLEHOLDER: Not Applicable BON DIhl COMPANY, of Applicable
Name: Name:
Address; Address;
City- City;
zip; plhonp- Zip; Phorie:
OW N ER/ CO NTRACTO R AFF I DV IT: Appl i cati❑n is he re by ma de to o bta in a perm it to d o th a wor k a nd instarlatio n as i ndicated-
I cc rtify t hat n❑ wo rk or installati o r7 ha s corn rn a need Pr for to th a issuance of a perm it.
St. Luc a Countv m akes no representation that i s gra nti ng a pe rm i t will au thoriae the permit hol d er to bail d the su bi ect structure
which i s i n con lct w ith a ny a pplica file H rare Owners Assoc i-ati on rules, bylaws or an d coven a rats t hat m e V restri-ct or pro hibit such
structu re. F I ease consu I t wath you r Fiume Owne rs Assrociation an d review Yo ur deed far any restri ct io ns which may a p p;v,
I n con si d era Lion of t he gra ntl no of this requeste d perm i t, I d❑ hereby agree that I will, i n all respect s, Perforate t he wo rk
i n accorda n ce with the approved pl ans, the F lurid a Ru i I ding Codes and St. Luci a Cnu my ArrrMendi n ents-
The fol I owi ng b uilding perm it appi i-cati nns are exempt from and a racing a f u 11 cancu r rency revi ew. room addi tia-fts,
accessory structures, swimming pools, ferices, wal is, signs, screen rooms and accessory uses to anather non-residential use
WAR TO OWNER: You rfaiIure to Record a Notice of Ccmmencernent may result in Paying wite for
improvements to your property- A Notloe of Commencement mutt be recorded in the public records of 5t-
Lutie County and posted on the jobsite before the first inspection. If yatj intend to obta In financing, consult
with lender or are q4-Dppey bef9fe eornmenti nip, work or recordin wur NotJ a of Coal rnenoement,
Signature of O my nor esseejCarti ra tt-o r al s Agent ;o r Oven er 5 ignat of Contr�ctor L ice nse Holder
STATE OF FLORMA STA E COF FLORIDA
COUNTY OF, � Lw tic COUNTY OF z)
I
Swor for affirmed) and subscribed before me of S Hof or affirmed] and subscribed before me of
P h s ical Presence or on I in a Notari ra t io n Rhysi ca I Presence or f Online Notarization
this n day of qm, E= , 2024 by th is n day of �J � . 202 f bar
Name of person making t tome nt. Name of person making statement.
Personally Known OR Produced Identification Persona 1 I y Known OR Produced identification
Type of Identi bcation Type of I dentificati an
Producec Produced
VA MA
(sign a to 6a'Y N bl i c- Sta to of Fl orad a } i f ffuta ry P u blic-Ste to of iwoo
AV Nor4jf`P;.jblie Sicire V 1 lorida
COmrraission NOL Li 5t o is n N�. �
io mri�rh7 Kelso M0.59
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K 4J1�s - My+C omrrnss.on-G 90s
F MY �70$Q� EYpifo&03147r2Q23
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REVrEWS FRONT Z0 R PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REWEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev- 5/6/2-0
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