HomeMy WebLinkAboutBuilding Permit applicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 91a�l�a� a' Permit Number:
L f CL
P L c. L c n "- -- Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 CBDG Funding
PERMIT APPLICATION FOR: F 6 nCe.,
PROPOSED IMPROVEMENT LOCATION:
Residential
Address: SPai r�OOCnC?,'by'
Property Tax ID#: 3�ic�Lp��ot0q-U���1--OU®-(D Lot No.
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
,cl -3'wca i-e-
New Electrical Meter Second Electrical Meter (Affidavit required)
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit -check all that apply:
Mechanical Gas Tank — Gas Piping _ 5hutter5 _ windows/Doors _ Pond
_ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
I
Total Sq. Ft of Construction: r� Sq. Ft. of First Floor:
Cost of Construction: $ Qf 3uy Utilities: —Sewer _Septic
P
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name n
Name: Rebad S N
Address: ` t6
Company: V\ (A Vl Luc` -
City: P v 5c kA✓ 1 C, State:
Zip Code: Fax:
Phone No. ?i'gln -• S59 - 31-13 E-
Address: 1 2143 'V-L4) • L-X- YC�V
City: Po✓-" Sc�f4 LAA2 S C State: r-�
Zip Code: 34cV5 3i Fax:
Phone No---?
Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail F
State or County License
If value of construction is 2500 or more, a RFLUKUtU Notice or tAmmencCmenL 1b Feyuucu.
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
Name: _
Address:
City: _
Zip:
Phone
FEE SIMPLE TITLE HOLDER:
Name:
Address:
Citv:
Zip: Phone:
State:
Not Applicable
MORTGAGE COMPANY:
Name:
Address:
Citv:
Zip: Phone:
Not Applicable
State:
BONDING COMPANY: _Not Applicable
Name: _
Address:
City:
Zip:
Phone:
OWNER/ CONTRACTOR AFFIDVIT: 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
.,;+I, Ir r,A— — nn o+tnrnov hofnrc rnmmPnrinu Wnrk nr rernrding vour Notice of Commencement.
VVILII 11 11U I Vi a..,. -I
Signature of Contractor - or - Owner Builder as applicable
STATE OF FLORIDA
COUNTY OF s�.L,)6-e—
Sworn t (or affirmed) and subscribed before me of Physical Presence or Online Notarization
this day of i\OU 040 , 20a1 by "p1r S��
Name of person making statement.
Personally Known � OR Produced Identification
Type of Identification Produced
(Signature of otary Public- State of Florida)
�Y Notary Public State of Florida
No. Orl DoZQ I127 (Seal) Lisa Blair
Commission
e My Commission HH 029107
YExpires OW05/2024 ;
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Rev10/12/21
,%3cif°062 Saint Lucie County Property Appraiser
(https://www.pasic.gov/)
Michelle Franklin CFA
Vik Se Its —
Sort B L �f1 h i ove Clear
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Parcel ID t . 26-500-1307-000-1
Site Ad
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Fi she 11439 - �I
A re x 0,111
010b - SF Res
0002 - Saint Lucie County
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NAME
ADDRESS �6 to ti �en CA
PHONE 3'66 56of 3'-13
EMAIL 0 5 PS
PROPOSAL 1 CONTRACT
FENCED IN, LLC
772-828-5199
FENCEDIN89@GMAIL.COM
2743 SW BUCKHART ST
PORT ST. LUCIE, FL, 34953
FENCE TYPE r-hQ l V1 Itn j[
STYLE 14' blct(,g
FOOTAGE -7 5'
REMOVAL �0
POOL BARRIER A)O
DATE I 2 90 2-1
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