HomeMy WebLinkAboutGary Schifilliti- ApplcationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: aLl -�,, a Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Commercial
CBDG Funding
PERMIT APPLICATION FOR:
PROPQSI"DhlMPR01/EMENT LOCATION � ` '
Residential
Address: L-E'_aV1 _4f
Property Tax ID #: 3's Lot No.
Site Plan Name: YV Rlnrle Rln
Project Name: -0c, y d
New Electrical Meter Second Electrical Meter (Affidavit required)
Additional work to be performed under this permit- check all that apply:
Mechanical
Electric
`Gas Tank
L,fflumbing
Total Sq. Ft of Construction: /�
Cost of Construction: $ V
Gas Piping
_,_, Sprinklers
Shutters _ Windows/Doors Pond
_ Generator _ Roof Pitch
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic Building Height:
Address-ce'50 • v' C t
City: 8 V kA State:a
Zip Code: C3 -) Lo e!] Fax:
Phone No. `�l �? (� r 1 Ci S� E-
Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
Name-.V
Compan,
Address:
City: V State:
Zip Code 3-5(-LUG Fax:
Phone No
E-Mai l II iIC�
State or County License C--�c�l
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.
DESIGNER/ENGINEER:
Name: _
Address:
City:
Zip:
Phone
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone: _
Not Applicable MORTGAGE COMPANY: ^ Not Applicable
Name:
Address:
State:
City: - State:
Zip: Phone:
Not Applicable I BONDING COMPANY: Not Applicable
Name:
Address:
City:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to cio the worK ana msiauatron as Inulca Lt:U.
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 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 )obsite before the first inspection. If you intend to obtain financing, consult
with lender or an attorpr6y before commencing work or recording your Notice of Commencement. ____1
Signature of C06ritDor - or - Owner Builder as applicable
STATE OF FL RIDA
COUNTY OF C.i_ r
Swor to (or affix ed) and subscribed be or me of - vnyslcai vresence or vllllll� IY VlO11LO L1411
thisday of v U v 2 by
E' G�� V L -
Name of person making statement.
Personally Known �R Produced Identification
Type of Identificatioqpxoduced
Public- State of Florida)
Commission No. fDt�(Seal)
REVIEWS 1 FRONT I ZONING
COUNTER REVIEW
DATE
RECEIVED
DATE
COMPLETED
A;.P•r KIM3ERLYAitN'lflELY
MY COIv°UiSSiU0, G 307970
EXPIRES: March 5, 2023
:'ov dt '• Bonded T! ru 4dota y PI "re Urder.+rilers
S REVIEWOR REVIEW IVEGETATION
REVIEWISEATURTLE VEWIMANGROVERVEW