HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATJON TO BE ACCEPTED
Date.
Permit Num4nr-
L
Building Permit Application
R.On ing and ve�upment Services
Buil og a ndCode Regulation Division coI'l merbal Residential
2300 V; rginO A verme, FOB# PiErre Fl! 3493Z
Phone, 177214 62- 1553 Fax: (772) 462-1578 CBDG Funding
PERfIT APPLICATION Ff.
CPROP SEA IMPROVEMENT LOCATION:
I_
Address: 2355 TROWBRIDGE R D
Property Tax ID #: 4-121-0015-0004 Lot No._
Site Plan Name; PADRICK Block Rio_
Project Name-, PADRICK GENERATOR
[DETAILED DESCRIRTION OE WORK,
�t t,
New Electrical Meter
Second Electrical meter (Affidavit reQ U 1 red)
CONSTRUCTION INFORMATION:
s
Additional work to be performed under this permit —check all that apply,
—Mer-hanical Eras Tank Gas Piping , Shutters Windows/Doors : Pond
Electric Plu rn laing , Sprinklers , Generator Roof P c h
Tota I Sq _ Ft of Construction: Sq , Ft - of First Floor:
Cyst f rti5tru t�on� r Utilities; _ Sewer _ Septic Building Height- _
OWNER/LESSEE:
NaMe F
7
Address'.
City:
Mate;
Zip Code: Fax -
Phone NO. — E-
mail;
Fill its fee simple Title Folder on next Page cif different
frorn the Owner Iisted above)
!Name:
com pa
ic
Address: ISS 19 l
ity: State:
Zip Code. Fax:
E-Mail -PINu ,
stet a or coun ty U c-e n se
If vale a of const ruction is 2 5DU a r more, a RECD RDE D NotiCA of Commenc ement is re q u i r-e d.
If value of HAVC is $7,5M or mor@, a RECORDED Notice of Corn mencemerrt i5 required,
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESI NE
Nam-e:
Add ress
city.
ENGINEER, Not Applicable
Zip; _ Phone
State:
FEE SIMPLE TITLE MOLDER: � Not APvIicable
Name:
Address,
City, -
2ip; Phone-
MOFUrG A E COMPANY Not Applicable
Name -
Acid re s s:
city-: state:
Zip: _ Phone:
BONDING COMPANY:
Name; _
Address:
City:
zip; Phone.
Not Applicable
OW N E R/ CO NT FACTOR AFFI D IT: App I ioation is h ereby mad a to obtain a per rani t to do the work and i nstaliation as ind i-cated .
I tett&y th a t n u work -or in stallati on has tarn m ern Ced prior to the i s,5u a nce of a perm i t .
5t, Lucle Coun ty m akes no r ep resenta tion th at is Vantl!Dg a permit will authori ze the pe rmit ho Ide r to bull d th a Subject sirvctu r e
wh ich con1 Iicts wi th art appl icable H orneovwnem A550[iabo n ru Ies, by laws or and coveoaot5 th at may re-,trl ct OF p(o hibit such
str uctu re. P lease consu�t Wit h your F lomeowner5 Assoc iatl o n a nd review your d eed for a ny restrictions whi Ch may a pgN,
in consideration of the granting of ibis requested perrnit, I do hereby agree that I will, in all respects, perform the wo-rk
in arco rd an ce wit h t he app roved plans, the FI urida Bui I di ng Cud e5 and St. Lucie Cou my Amendr nent5 .
The Following bu ihd i ng per m i t awka tion s are exem pt from un dergoi a fal l cancu rrenry review: fo-o rn .dd i tion s.
accessory structures, sw4irn m i ng poo Is, fen ces, vwa I I s , sign% sc ree n rooMs a nd accessory uses to anath er non-r-esident ial use
WARNING TO OW NER: Your -failure to Record a Notice of Commencement may resukt in paying twice for
impr er'nents to your property. A Notice of Coi-nrtrencement must �� recorded in the public records �� St,
Lucie County and posted an the jobsite before the first inspection. If you intend to obtain financing, consult
with Gender or an a tto rney before co rn m en cing work or recording your Notice of. Cornmencement.
Signa to re of owner/ t_esseelcontractor
STATE OF FLORI0A
COUNTYCIF
-swam to [or affirrnedI and subscribed before me of
th is d ay of f_,r , 20 22 by
Name of person making statement.
Personally Known _ OR Produced Ideoti f i cati o n
Type of Identi -ration Produced
(5*natu re of Notary Public- State of F loci da }
(Seal)
0fmline 1Vatariiatiori