HomeMy WebLinkAboutBPA 6202 E Seminole Rd Ft Pierce (1)All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Permit Number:
Date:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Port Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 CBDG Funding
PERMIT APPLICATION FOR:
'Y" 5 2 _57
�s^`"'stit?� 'SAdOR
dress. ��. (�
o nh -,I Lot No. 1
Property
Site Plan Name: Buck Na.
Project Name:
++173�,.�. M�
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o
New Electrical Meter Second Electrical Meter (Affidavit required)
$
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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
Electric — Plumbing — Sprinklers — Generator Roof Pitch
Total Sq. Ft of Construction: 1 ? Sq. Ft. of First Floor: 10
Cost of Construction: $ ° Utilities: _ _ Sewer Septic Building Height:
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Name Name• • 4 V
Address: L 2 I K Q to j2 Company: r (-o 6 Ver
City: State: Address: m l) 6' Lul
Zip Code ✓ f Fax: City: State:
Phone No. E- Zip Code: Fax:
Mail: Phone Na q2
Fill in fee simple Title Holder on next page (if different E-Mail 1 VIG �{
from the Owner listed above) State or ounty License
If value of construction is 2500 or more, a RECORDED Notice of Cammencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER: Not Applicable
Name:
Address:
City: State:
Zip: Phone
MORTGAGE COMPANY: Not Applicable
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: ..L Not Applicable I BONDING COMPANY: Not Applicable
Name:
Address:
City:
Zip: Phone:
Name:
Address:
City:
Zip: _._ Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the worst and Installation as indicated.
1 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 an applicable Homeowners ;Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consuy(t 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 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 praying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie CountyAnd posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lender Orlan attornev before commencine work or recording your Notice of Commencement.
Cristal Nunez
Signature of Cb6tractor - or - Own r uilder as applicable
s
Com INHOISM
OcL 2a, 202
STATE OF FLORIDA
Bonded iittu Aaron Notary
COUNTY OF �A 1 11.fi (J V �
Sworn to (or affirmed) and subscribed before me of _
Physical Presence or
Online Notarization
this day ofazo_Jjy
Name of person matting statement.
Personally Known. OR Produced Identification
Type de ifs Lion Pr doted
1
(SI n ure t(iof ;ry u lic- StW of Florida)
Commission No. At O1 1�1(00 (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev 10/12/21