HomeMy WebLinkAboutBuilding Permit Application-5307 Birch Dr.AIIAPPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Permit Number:
Building Permit Application
Plonning ond Development Services
Building ond Code Regulation Division Commercial _ Residential2300 Virginio Avenue, Fort pierce FL 34gg2
Phone: (772) 462-1553 Fax: (772) 462-15Z8 CBDG Funding
Btact be %e; /ra:7e-<4-=- 3v?z>
Property Tax lD #:
Site Plan Name:
Lot No
Block No,
Project Name:
New Electrical Meter Second Electrical Meter (Affidavit required)
Additional work to be performed under this permit - check ail that appry:
_Mechanical _ Gas Tank _ Gas piping _ Shutters
_ Generator
Sq. Ft. of First Floor:
Windows/Doors
Roof
_ Pond
PitchYlElectric_ Plumbing _ Sprinklers
Total Sq. Ft of Construction:
costof construction:g :!57a, aa Utilities: _ Sewer _ Septic Building Height:
ltvalueofconstructionis2500ormore,aREcoRDEDtvotic@
lf value of HAVC is S7,5oo or more, a RECoRDED Notice of commencement is required.
PERM IT APPLICATION FOR:
PROPOSED IMPROVEM ENT LOCATX3t\I :
?t- aoo
DETAILED DESCRIPTION OF WORK:
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CONSTRUCTION I N FORMATION :
OWNER/LESSEE:
Address: A
,,ru,
Zip Code: 33/ Y / rax.
Phone rn,_ U-."+Mail: Js
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
lf value of constru
CONTRACTOR:
Name: Qo1 > aLo l>,/e-, zr S
Company: Q *rZ Fz-€1.-2t<- Cort
Address: Vc/
City: fh a / e-a- 4 State:
Zip Code: ?s ot =
State or County License €€- / 3 e o z / 6 S
Phone No Aas * A €e -?/Zoe-M",1 ,-q
_4-5o29
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
Address:
City:Zip:_ Phone.
State:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
State:
zip:Phone
City:
zip:
FEE SIMPtE TITLE HOLDER: _ Not Appticable
Name:
Address:
City:
Phone:
BONDING COMPANY: _Not Applicable
Name:
Address:
City:
zip:Phone:
oWNER/coNTRAcToRAFFlDVlT:Applicationisherebymadetooo
I certify that no work or installation has commenced prior to the issuance of a permit.
St' Lucie Countv makes no representation that is g.rantinga permit will authorize the permit holder to build the subiect structurewhich conflicts'with anvapotiCa6te HomeownLrihssocialiofiiriiei,'byiff; or and co_venants that mav restrict or prbhibit suchstructure. Please consult with voui Hor;;;w;;i'; A;;ili;ii;ij ;;';"i"i'",il i"ur deed for any restrictiSr{s fi,fii.ii,i',.V';i'iii: '"'
ln consideration of thegrantingof this requested permit, ldo herebyagreethat lwill, in all respects, performthe workin accordance with the approved plans, the rloridi guiloing coa"iai,JBt. Lucie couniy 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 forimprovements to your property. A Notice of commerrcement must be recoraea iniil;a;61i. iecords of st.Lucie, countv and posted on the jobsite before tl.re iiisiinspeciiil. If yo, ii'iLii1" obt.i-n ft;;;Ii-n!,'consutt*i,h l.nd"r o{ .n b,Frn", b"fo- .orr"n.in* *oi'k o. r"[ording'uoJi ttto,iJ"'ir correncement.
- or - Owner Builder as applicable
STATE OF FLORIDA
COUrvrV Oi-'---i-Ztzt-zt )*a e
Sworn tpr{or affirm,ed) and subscribed before me of
this / r dav of lQZu_au__,2o4Lbv -y(ehysical Presence or Online Notarization
Name of person making statement.
Type of ldentiJicqti96 pr
(Signature of t(ot5ry pu6tic- State of ftoriOat
Commission No.-- tseaf t :,;ti]'i%
iffi"J
MARIA E HERNANDEZ
Commission # GG 2g2Bg6
ExpiresApril 7,2023
Bonded Thru Budget Notary Ssryices
SUPERVISOR
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW