HomeMy WebLinkAboutPERMIT APPL WINTER GARDENAll APPLICABLE INF MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Date: Permit Number:
LUUlz
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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
PERMIT APPLICATION FOR:--��;��
PROPOSED IMPROVEMENT LOCATION:
Address: (-A LA3kn•k-- ✓
Property Tax ID #A OI- U 13— 00 --9 Lot No.
Site Plan Name: Block No.
11
Name -
Project
DETAILED DESCRIPTION OF WORK:�I��I�
New Electrical Meter Second 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 _ Plumbing _ Sprinklers _ Generator Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ �� �� Utilities: —Sewer _Septic Building Height:
.,".,,"ilea .9�L� sR C 75 C : c t�F & 3 `vC .,C»".CA ,LkGm..
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says 6 c a p F '; � � 'I ��!.:11' ' .s k '... I „ .,
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Name J t d k—A C,.Lk Name: uc'-" Cx-v�S
Address`:�)S&>1 UUkn4n-e- Gorclen TKuki Company Q-VCR-rye � ->✓ �f �`�
City: C1x t- erCk_ StateF I Address: so-3-5
Zip Code: 3�4u S , Fax: City: P5" State: P
Phone No. SL7 1 • Zip Code: 2�HCt %.- LO Fax:
E-Mail: Phone No--nL- -J1Sr01!z-N
Fill in fee simple Title Holder on next page ( if different E-Mail f Cc r -SCr vtnG.�
from the Owner listed above) State or C unty Li se C7�sZl{
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.
L CONSTRUCTION LIEN LAWINFQRMAT
DESIGNER/ENGINEER: _ Not Applicable
Name:_
Address:
City:
Zip:
Phone
State
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:_
Address:
City:_
Zip:
OWNER/ CO
I certify that no
Phone:
MORTGAGE COMPANY: _ Not Applicable
Name: -
Address:
City: State:
Zip: T— Phone:
ONDING COMPANY: _Not Applicable
Name:
Address:
City:
Zip: Phone:
AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
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
structure. conflict
leasle consult with pyofurHome owners Assoc Association aond review yyour deed for or any restrict that
wh ch may apply bit such
In consideration of the granting of this requested permit, I do hereby agree that 1 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
STATE OF FLORA
COUNTY OF �—t-C—t—
r icense o er
STATE OF FLORIll + w
COUNTY OF Dk �t�C
,l.Swrn to (or affirmed) and subscribed before me of n to (or affirmed) and subscribed before me of
�v✓✓ ,Ph sical Presence or Online Notarization __ Physical Presence or �9nline Notarization
this,_day of nlr(1t'►'►, . ZS?t by this day of nil �jcJ 2,Qn by
, ��
Name of person making statement. Name of person making statement.
Personally KrQw.Pr'
rsonall Kn *�
Type of Identification aP ` ^ Notary Public state cf=;or,da Type of Identification ,.,•' �w, Notary Public State of Florida
Ashley Del Toro Produced : Ashle Del Toro
Produced • ' , rssiort HH C52369 15 �a� y ommcsswn HH 052369
Expires 10111l202a P �►��r =W es 10/11202A
or Notary ublic- State of Florida )
(Signature of Notary Public- Sate of Florida j (Signature
I �
� Commission No.
Sea':) Commission No. _ (Seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
i l
DATE
RECEIVED -
DATE —
COMPLETED
Rev. 5