HomeMy WebLinkAboutBuilding Permit Application ApprovedAl[,APPLJCABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
o
Date:
Permit Number: .z
APPROVE' �Cu
'RFCEIVED
•®�
Building
'�`� b i �,.
4hit Application
JAN 21 2021
Planning and Development Services
permittin De t
St,L.�, ' ent
Building and Code Regulation, Division
Commercial Residential
ou
,I �°unty,
y,
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
pR0PO5ED IMPROUEENT LOCAi'fQyN° °fi j_
'Address: %
3� OS :S .44`? •yewr
P6 e,
:.,
Property Tax ID M. �
v c� s z v S -L-P
�- (j' Mj �' � kI di 4�%
_
tad 4 n
Lot No. _ �•
Site Plan Name: r eli1
Block No.
Project Name: j 6 'r da
I, , dew Electrical Meter A & 1 •C Second Electrical Meter 11 V Q __C"
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: $ ' 24-0 ow. a 0 Utilities: —Sewer _ Septic Building Height:
Name W,011"&r 1 00�6 1 1 (ome. j2wier,
Address:1 3bUb,,--) LNDIAN RIVER DR ss
City: JENSEN BEACH state: FL
Zip Code: 34957 Fax:
Phone No. 772-777-9940
E-Mail: SUPERGLASSFLGgmail.com
Fill in fee simple Title Holder on next page ( if different
-frornthe Owner listed above)
Name: & ' f' L &e no-, eXelt
Company: Qk,'s Le_oi--)cPrrY
Address: & 7 qa, a'G k c -.
City: K fA I Cis /) State: �
Zip Code: - N 4fq Fax.:
Phone No 7 7 1 2--6 3 -7 G c
E-Mail L. e- en . -5 ' �a
State'or County License j .3
If value of construction is 25W 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.
DES16NER,EN GINEER'." k6tApp tine - Iibli e
Name:
Address.,':
City'..
zip: Phone
LO 'Noi-A 'if'' 61 FEE SIMPLETitU Rd Ell" pp ica e�
Name :
-
Add res
s
. ...........
Zip: Phone.-.
1, certify
'Address,
Phone-.,:
ivIT:zA! of" J s hereby made e
P llcationl"- h ' 'b * ad I to dbtalma:perftdbi(
hasc,ommericed priorto,'the :issuance.of A permit..
as"
In consideration ,dUthe
, ,granting of'fhisr.6qU6sted.3etmit;'l'.d6;4er6 bI y agree,thiat vll, inA,;611 respects, pprforrhAlie work
maccordanteviihthe appiove& lans,,th6 Floridariaa Build!49 toAes,andSt. Lucie Amendments.'
!he following building perni c tunderg9i . ng afelt concurrencv review: "room additions,
it.appli*ations are 4,xeMpt'fo-m-
accessory structures,,. swimmiriq pPols,fencos, waII4,.!AgnssrreLzn:rpoMs and'ac 6 rAs
cessotv usiE�s.tq another n n� idential-use
WARNING TO OWN'ER.-,'Yot.iefiiltirv.tb,,Recoird a NiDeke:of Commencement m-ay ... result i . n: paying twicefor
improvements to your property -A Notice .of C6nihietic-eiftidtit must,be
be record6dlm. the publfc recor& of st.
Lucie County afo i 0 6.fi thejdb-sitdc
be,, q rp inspection If You intend' to'd tR,jn .10apcigg, consult
first pspep'ti
with lender- or an,attorney be'f the
commencing. ork, or, re'cordi ng', your Notice of ConiVnencement,,
Signpttire.of Owner/ LTs ltbntractor,.asAgent"for Owner
Signature of Contractor/LicenseH61der
STATE OPFLORIDA
STATE OF FLORIDA
COUNTY OF, G C
COUNTY -OP W�Lwfn
5Worn to (or affirmed) and subscribed before rno; of
Swor6.,id:(Cir.affi(meO)and's4bscrib.ed'bef6r.ehnd of,
tl--- Physi.61'15r6sence'de'. Online Notari�tatiorf.
jphYsrc6lPresenc6,,,or Online, Notarization.
this 't, 1 day 4Y
this dayof
this j,.4P20; by
Name of,persbn making statement:.
Name of petsonlrriakipg,staternertt.
Pdrsona.11y Known —,OR' Produced identification , 1,,Persohally'Khbwh.
OR Proddced-ldentlfication
Type o er�kfficatlo f ld n.—
'.Type ofidentificatibn it
tit i!
Produced
Produced' E Lj
(Signature of Not
(Signature —of Notaryc- Stto to
Notary0bblic-I.SWebtFlo d n a
Commission No. 5040
•
Cotrimissian No.
5vil es e 3j,2022,
e.
REVIEWS
l7R'ON-r
ZONING
SUPERVISOR;,
PLANS :
VEGETAT1 ON
SEA A T U RK-90i,
VE,
lo
60UN'TER,
REVIEW
REVIEW
REVIEW'
-REVIEW
REVIEW
t EVIEW
D.ATE.
RECEIVED.
DATE,
COMPLETED,`
KPT57.47.zu