HomeMy WebLinkAbout518 EUROPEAN LN, FORT PIERCE, FL. 34982 SLC PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:-_) Permit Number:
0
p ° Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 452-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOC 1
Address:61% ELffCQ �f
Property Tax ID #:i�-rJi
Site Plan Name: _
Project Name:
DETAILED DESCRIPTION OF WORK:
1YD Yi
Lot No. ice?
(0,)31'� C9'C1 T- I &A)
V .. Block No.
_
�f I -tr�v i7��o�ttllLWivl,` _� (J _ \�1 WC
New Electrical Meter rQ ft Second Electrical Meter YO A
CONSTRUCTION INFORMATION:
cv FCC
Additional work to be performed under this permit- check all that apply:
_Mechanical — Gas Tank _ Gas Piping Shutters _ Windows/Doors _
Electric Plumbing _ Sprinklers _ Generator Roof
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ -& a Utilities: Sewer —Septic Building Height:
OWNER/LESSEE:
Name 1, �- vl5 4 i`
Addres$:iY _
City: State:
Zip Code: Fax: rN-
Phone No. - R-LF
E-Mail:f '� PrG << •
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR:
Pond
Pitch
Company: hCCL 11A A k%,..tbr
Address:_06
City: LL " C State:,L
Zip Code: .31-M Fax:
Phone No-.-1-79 alf `p(/q5�
E-Mail
State or County License
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 LAW INFORMATION;
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: _ Phone.
FEE SIMPLE TITLEHOLDER: Not Applicable BONDING COMPANY: Not Applicable
Name, Name: i
Address: Address: I
City: City:
Zip: Phone: Zip: Phone:
OWNER/ CONTRACTOR AFFIIDVIT: 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
structis in ure. Pleasle consult with applicable
ome Owners Association and resew your deed aws or for any restrict that
whichtmaor
applyhibit such
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 attorney before commencing work or recording our Notice of Commencement_ _
Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contrac rJLicense Holder
STATE OF FLORIDA STATE OF FLORIDAu
COUNTY OF L- COUNTY OF -
Swptn to (or affirmed) and subscribed before me of
P ysical Presence or online Notarization
this I5 day of 202f by
Narne of person making statement. /
Personally Known OR Produced Identification
Type of Identification
Produced_ 7 L—
Sw orn to (or affirmed) and subscribed before me of
7pPhysical Presence ors_,•_ online Notarization
this L�— day of 2021 by
IV �
Name of person making statement.
Personally Known ✓ OR Produced ldentification
Type of Identification
Produced — �.--
(5i attire of
;Signat e
; JULIE JANE MCCAUL�Y
`���.-. Notary Public State
Commission N
i JULIE JANE MCCAULEY
Notary Public - State( ¢ da
ontio • Sion N HH 99�h
Commissio
• of FIa�f
' y HH 4912A
..• ' My Comm. Expires Oct 1. 2024 I
`•..,�st4..:` My Comm. Expires Oct 1, 2024
Eanded throe h Natiqoal Notaryr.A"A,
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