HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED' -
Date:
S rAl 1L.UCIE
COUNTY likk,
-
L O R 1 D A �►
Permit Number I OU - 0oN(P
/ ��' �\ RECEIVED
C�. � `�f
`.1 JUN 10 2021
Building Permit Application
St. Lucie County
Planning and Development Services Permitting
ZX/
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: p7 c
RROPOSED INGPRDVEM,ENT LOCATION;
Address: Ll19Lff� AVe-A c - T 144- &T� H- 3�gLi7,
Property Tax ID#: 2yjj� Dof-Qj00 -C)00— Lot No. 3a4le,
Site Plan Name: aL Pro e_j-1 eS fin+ Block No.
Project Name: AyG D't- 9"1'
DETAILED DESCRLPTI.O'N:OF WORK:
/"GO
0` oRw j,;jtgLe -farnlLy hor4P_,
New Electrical Meter _>� Second Electrical Meter,
CO'NSTRUCTI'ON 1NFORMAT[O
Additional work to be performed under this permit- check all that apply:
Mechanical Gas Tank _ Gas Piping _ Shutters Windows/Doors _Pond
-,k'Electric 1rPlumbing _ Sprinklers _ Generator .4 Roof C , /2. Pitch
Total Sq. Ft of Construction: ^' ! '� _ Sq. Ft. of First Floor: lei y5- 50. FT
Cost of Construction: $ Z96g.�- Utilities: _Sewer 'Septic Building Height: 'f - 13f7it
OWNER/LESSEE:
'CONTRACTOR:
Name R4+f1'd&_ Ayo—t►+
Name: lY1apr_ O,Q'�4L�C1
Address: 1916 41 5k
Company: P6(, 54, L.wt,'e- Proft/` 'e5
City: For State: FL
Zip Code: 7z1qL(% Fax: JVIA
Phone No. % 3 7 Z"�S2
E-Mail: &vcii�� �t� L, GOrn
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Address: 2(? t' Scd L LAVW -
City: Par+ -54, L,.icie.- State:-L,
Zip Code: �� q�6�/ Fax: &L4
Phone No 772.- 62-6' 3 1 76
E-Mail d5p Y-a4_1 a a.mM
State or County License C 13c,12 6 30 i
If value of construction is 2500 or more, a RECORDED Notice of Commencement is requires.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
'SUPPLEMENTALCONSTRUCTION LIEN LAW [NFORMATION'.-
DESIGNER/ENGINEER: Not Applicable
MORTGAGE COMPANY: -Afnot Applicable
Name: 9-P-A, CA fi)- &r e_e/'
Name:
Address*
Address:
City: 6&'_tr_C2_ State: F—L,
Zip YcJTS7. -Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _A!f-Not Applicable
BONDING COMPANY: _4LNot 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 is in conflict with any applicable Home Owners Association rules, bylaws or ancovenants that may restrict or prohibit such
structure. Please consult with your Home Owners 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 jab ite before the first inspection. If you intend to obtain financing, consult
with lender or aattSXney befo commencing work or recording youp4otigeof Cqaptenc ment.
Signaturer/ Lessee/ nt tor s Agent for - ner
S1�gnatur of Conti )r1I ['Cenqp Holder
I
STATEIDA
COUNTY OF
-
STATE OF FLORIDA
COUNTY OF
Sworn to (or affirmedf/and subscribed before me of
JZ Physical Presence or Online Notarization
this 2�dayof M)�J)iP 2024 by
Sworn to (or affirmed) and subscribed before me of
XPhysical Presence or Online Notarization
this �day of MAA,- 2020 by
Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification
Personally Known Y OR Produced Identification
Type of Identification
Produced
Type of Identification
Produced
(Sig $ture_6f Notary Public- St -at, Notary Public State of Fic
Robin L Bowen
Commission No-Gc-:,,�iqbm��_ S *,a I Oy commissio n GG 298
Expires 02104/2023
•0, V
fidWgitb re of Notary Public-
al Lrn ---I, 6n. Xci
4ission No. C
a e
Notary Public State of Florida
RAi;n gLowen
M ssion GG 298212
of, Expires 02/04/2023
PLANS
REVIEW
VEGETATION
REVIEW
REVIEWS FRONT ZONING SUPERVISOR
COUNTER REVIEW REVIEW
SEA TURTLE MANGROVE
REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.