HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 12/10/2021 Permit Number:a ya-(�XAq
RECEIVED
O v DEC 10 2021
R =- Building Permit Application St.Lucie County
Permitting
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578 CBDG Funding
PERMIT APPLICATION FOR: Demolition
PROPOSED IMPROVEMENT,LOCATION
Address: 59R9 Deanna I N_ Fnrt Pierce_ FI R494Pi
Property Tax ID#: 1430-702-0016-000-4 Lot No. 8
Site Plan Name: Block No. 2
Project Name:
DET/�ILED DESCRIPTION O.F.-WORK:
Trailer demolition
Cup off the main drain connection to the trailer (tJ Ao
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 _Shutters _Windows/Doors _Pond
Electric / Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. F ion: Sq.Ft:of First Floor:
ost of Construction:$ 0 0. O Utilities: .—Sewer _Septic Building Height:
QWNER/LESSEE: CONTRACTOR.-
Name- - Marco Antonio Arita Name:
Address: 5289 DEANNA I N Company:
City: Fort Pierce State:Fes- Address:
Zip Code: 34946 Fax: City: State:
Phone No. 19541549-7499 E- Zip Code: Fax:
Mail: Phone No
Fill in fee simple Title Holder on next page(if different E-Mail
from the Owner listed above) 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 CONSTRUiCTION-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 TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: 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.
Inconsideration 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 Contractor-or-Owner Builder as applicable
STATE OF FLORIDA
COUNTY OF S-k • 1-�c�'�
Sworn to(or affirmed)and subscribed before me of Physical Presence or Online Notarization
this�b day of 20a1 by
C d IN
Name of person making statement.
Personally Known OR ProdLiced Identification
Type of Identification Produced
(Signature of Nota ublic St to f I i
VENS
Commission No �`: Notary PublicNA S iI
.��1��36 State of Florida
Commission#HH 086359
or n4a' My Comm.Expires Jan 28,2025
Bonded through National Notary Assn.
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