HomeMy WebLinkAboutBuilding Permit Application..... .....
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All APPLICABLE INFO MUST.BE COMPLETED FOR APPLICATION TO BE.ACCEPTED -
Permit Number:
Date: I /vs c
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",:Bbilding Permit App icatpph
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Planning and Development Services. .
Building. and Code Regulation Division Commercial ReSidential:x
2300 Virginia Avenue,' Fort Pierce FL 34982 ;
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION:FOR:I.NSTALL 85 LNF.OF VINYL.. SEAWALL._..:.
PROPOSED IMPROVEMENT LOCATION:a < R
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Address::606 WILLOWS-AVE. PORT ST. LUCIE,:FL. 34052sw
......... ......... _....
Property Tax ID #.::.3419-510-0241-000-2.: Lot. No:.10
Site Plan:Name: Block No. 19
Project Name:
SAWYER RESD...: ...... ..
INSTALL M LNF. OF VINYL. SEAWALL
:... ..
New Electrical. Meter' Second:Ele.ctrical Meter: ' .
CONSTRUCTION INFORMATIpN
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Additional work to be performed under this permit — check:all'that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters- _ Windows/Doors _ Pond
_ 04
Electric . Plumbing _ Sprinklers Generator Roof : Pitch
Total Sq: Ft:of Construction: Sq. Ft. of First.Floor:
Cost of Construct - ®� Utilities: _ _ Sewer -_ Septic. Building Height:
riOWNE�R/LESSEE r
`CONTRACTOR
SISSY SAWYER
Name . �
Name: MICHAEL GUIDICE
Address:606 WILLOWS AVE
Company: TREASURE:. COAST BARGE,.INC.
City: PORT ST LUCIE State,:,
Address;1200,SE OIXIE CUTOFF RD., .....
Zip Code: 34952 Fax::
City: STUART State: FL:
. . ... ......... .........
Phone No.
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p... 34994 .. .
Zip Code: Fax:
Phone No(772) 220=3625.
E-Mail: ...
Fill in fee simple Title Holder on next page ( if different
E-Mail TREASURECOASTBARGE@YAHOO.COM
State or Count License20077
from the Owner listed above
If value of construction is 2506. r more, a RECORDED Notice of Commencement is required.
If value, of:HAVC is $7,500 ormora, a:RECORDED Notice:of Commencement is:required.
UPPLfMENTALCC?NSTftU
"T LIEN LA1N`1NFORMATION b s:
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _
Not Applicable
Name:
Name:
Address:
Address:
City: - State:
City:
State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY:
Not 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 and covenants 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 jobsite before the first inspection. If you intend to obtain financing, consult
with lender or an attornev before coa?Mencing work or recording vour Notir"o�Commencement.
Signature&-Ci ner/ Lesree/Contractor a �.... ner /Signature of Contractor/License Holder
STATE OF FLORIDA ►i
STATE OF FLORIDA
COUNTY OF `c'T
COUNTY OFr�G2.?
Sworn or affirmed) and subscribed before ""
Sworn o (or affirmed) and subscribed before me of
Physical Presence or Online Nota
Physical Presence or Online Notarization
this day of $e/1 Bey 202� b
this '_ day of.5. 202� by =
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Name of pers n making st , ement.
Name of person making statement.
Personally Known OR Produced Identification k--**—
f'taPersonally Known. OR Produced Identification
Type of Identification
Type of Identification'
3
Produced r -2
Produce
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e of Notary Public- State of Florida )
( igna cite of Notary Public. State of Flori a
Commission No. 3 (Seal)
Commission No. �� g (Seal)
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