HomeMy WebLinkAboutPERMIT 771 LINDO LNAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
L-- Lc! ALL
e ° c Building Permit Application
Planning and Development Services
Building and code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:e
PROPOSED IMPROVEMENT LOCATION:
Address: i 71 L i r) do Lnl.
PropertyTaxlD#: 3Ulct- 515 - 01-10 - 000- `�
Lot No. /3
Site Plan Name: Block No, 6
Project Name: I
DETAILED DESCRIPTION OF WORK:
ear O-f Qxis4.iAa fo0i C►nci inS�alf new :511; rd(PS and AdotJrit{
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
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 X Roof 6/1a Pitch
Total Sq. Ft of Construction: 1965 Sq. Ft. of First Floor:
Cost of Construction: $ 10'acsn Utilities: —Sewer _septic Building Height: 2 544 t a
OWNER/LESSEE:
CONTRACTOR:
Name__CCxrnI 4. r 1 nN Name:A M(a o Y)2l{
Address: 771 [,ir) o LN. Company: 'rQgSUyL cloct%4
City:�nr} Sj, LWC.iQ. State:FG Address:la(f;�yW -L-,�jJ+M01,L S{.
Zip Code: 3'/9 5d Fax: City: ir 3 S}- /,Vi tt State:
PhoneNo._7'7d- $'7$- 7019 Zip Code:3y4lic{ Fax:
E-Mail: Phone No 1 `7d- 370 - q 7-to
Fill in fee simple Title Holder on next page (if different E-Mail -rya oo � ; r. o L LC QY10.' 1 ca M
from the Owner listed above T
I State or County License CC_ C 1 �- 14
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:
Name:
City:
Zip: Phone
FEE SIMPLE TITLE HOLDER:
L mppucaole I MORTGAGE COMPANY: Not Applicable
Name:
Address:
State: City: State:
Zip: Phone:_
Not Applicable
Name:
Address:
City:
ZIP: Phone:
BONDING COMPANY:
Address:
City:_
Zip:
_Not Applicable
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that noworkor installation has commenced prior to the issuance of a permit,
StL
which is inc onflict with anrepresentation applicable ome Owis ne s Associationlr rules, authorize
or thepermitovenants thatmaydrestrictborr 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 permitI 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 an the jobsite before the first inspection. If you intend to obtain financing, consult
with lender or an attorney before commencing work or recording your Notice of CommpnromA�t
I
/OLI.
Signature of Owner ss ontractor as Agent for Owner
STATE OF FL
COUNTY OF
.13
Sworn to for affirmed) and subscribed b
X_ Physical PreseJj� or Online
e/ this day of '.ffU — 2
Name of person making statement.
Personally Known t= OR Produced
Type of Identification
Produced
of
Commission No. %c/ 2d
REVIEWS I FRONT 1 ZONING
COUNTER I REVIEW
ti nZ5
(7Nu'S2
i
Signatur OrC�or li Holder
STATE OF FLORIDA
COUNTY OF Si. ZIJCIL £t
Sworn to (or affirmed) and subscribed before e o a
�S_ Physical Pres ce or� Online Nota a
this c/ day of 2020 b rn .6 z°
Name of person making
Personally Known ^ ' OR Produced
Type of Identification
Produced
(Signature
Of
CommissionnNNo. 7 C' (Seal)
SUPERVISOR PLANS 1 VEGETATION SEA TURTtE MANGROVE
REVIEW REVIEW REVIEW REVIEW REVIEW