HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 02/04/2022 Permit Number:
O u
_ Building Permit Application
Planning and Development Services X
Building. and Code Regulation Division Con-inlerclal. Residential
2300 Virginia Avenue, Fort Pierce FL 34982 _
Phone: (772) 462-1553 Fax: (772) 462-1578 CBDG Funding
PERMITAPPLICATION FOR:
r r
Address: 325 NE BRACKEN RD
property Tax ID #: 3419-570-0123-000-5 Lot No.
Block No.
Site Plan Name:
Project Name: JOHN FAZIO
pETA�fL�b
124KI�aE�>42?�X?�'12�C��
LIKE FOR LIKE DUCT WORK
New Electrical Meter. Second Electrical Meter (Affidavit required)
Additional workto be performed under this permit —check all that apply:
XMechanical _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:$ 6850.00 Utilities: __Sewer _Septic Building Height:
OW'NER�LEgg ._,.
S$E _ `._,t 00NTRACTO Name: Christopher Langel
Name JOHN FAZIo a
Address: 325 NE BRACKEN RD company: a l n^ t A/C ^nri$b.e8t_IVlPfal lnr
City: FT PIERCE State: FL Address: 3108 INDUSTRIAL 31ST STREET
34983 Fax: City: FT PIERCE State: FL
Zip Code: 772-448-4416
Phone No, 772-206-6957 E- Zip Code: 34946 Fax:
Mail: Phone No 772 466 2400
Fill in fee simple Title Holder on next page (if different E-Mail INFO@SGACOASTAIR.COM
from the Owner listed above) State or County License CMCQa5A21
If value of construction Is 2500 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.
R—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:....
Cit City:
yPhone: Zip: Phone:
pWNER� 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 priogr to the issuance of a permit.
wh ch confli tsywitn anV applpcable Homeowners AssoclatioPrule�s bylilawshorrand covenal,ts that maybe hich or y subject
structure
su h re
structure. Please consult with your Homeowners Assoaatlon 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 consult
improvements to your property. A Notice of Commencement must be recorded in the public records of St,
Lucie County and posted on the )obsite before the first inspection,
Iou�Not ce of Commu intend to lencementg
with lender or an attorney before commencing work or recording y
Signature ocntractor-or-Owen Iderasapplicable
STATE OF FLORIDA
COUNTY OF ST LUCIE
Presence or _Online Notarization
X Physical
Sworn to (or affirii4 �x+440iSN>A`:r)bed before me of
this 4 day of , 20 22 by
CHRISTOPHER LANGEL
Name of person making statement.
Personally Known X OR Produced Identification
Type of Identification Produced
(nature of Notary Yupac- acace o� r��
Commission N0.71�(eal)
REVIEWS
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FRONT ZONING
COUNTER REVIEW
Ya4;,,, JUSiINA L. NOPKINS CONNELLY
', MYCCMMISSION#G0940b62
�.(', EXPIRES: Dacembar 17, 2023
` Bonded Thm Notary Public UndenMlerq
SUPERVISOR PLANS VEGETATION
REVIEW REVIEW REVIEW
SEA TURTLE I MANGROVE
REVIEW REVIEW