HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FCR16ATION TO BE ACCEPTED
Permit Number: ad2.0 oZ OCFI(o
Date:
FEB 0 4 2022
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Parn1lP Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Commercial X Residential
CBDG Funding
PERMIT APPLICATION FOR: Maria Martinez
PROPOSED IMPROVEMENT LOCATION:.:,`" _:...
Address: 787.0 Germany Canal Road. Port Saint Lucie, Florida 34983
Property Tax ID #: 3229-212-0002-000-7 Lot No.
Site Plan Name: Ag Building Block No.
Project Name: Germany Canal
-DETAILEDDESCRIPTION OF WORK:
Frame and pour concrete for open end agriculture building according to specifications.
'guAl"fl, 5_c.a�.
New Electrical Meter Second Electrical Meter (Affidavit required)
CONSTRUCTION INFORMATION:
Additional work to 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: 3200 concrete pad Sq. Ft. of First Floor:
Cost of Construction: $ 25,000 including concrete Utilities: _ Sewer _ Septic Building Height:' 14ft arch
OWNER/.LESSEE;:, . y
CONTRACTOR:..
Name Maria Martinez
Name:
Address: 662 SE Starfish Avenue
Company:
City: Port Saint Lucie State: FL
Address:
Zip Code: 34983 Fax:
City: State:
Phone No. 772-215-6836 E-
Zip Code: Fax:
Phone No
Mail: mariaionahl2504(a�aol.com
Fill in fee simple Title Holder on next page (if different
E-Mail
from the Owner listed above)
State or County License
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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:-
DESIGNER/ENGINEER: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
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 conflicts with any, applicable Homeowners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consu 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 paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie my and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
__wWlep#2or an attorney before commencing work or recording our Notice of Commencement.
Signature of Contractor - or - OvnX Builder as applicable
STATE OF FLORIDA
pp
COUNTY OF &)►AAA h
\'
Swor to (or affir ed) and subscribed before me of
Physical Presence or Online Notarization
this day of 20�A by
Name of person making statement. 00
Personally Known OR Produced Identification
Type f Identification Produced
(Si urb of Notary Publi >3tate of Florida)
MN" LASHAHNA INGRAM•RAHMING
MY COMMISSION # GG 275060
Commission No. (Seal)
EXPIRES: December20.2022
Banded Pn WM rubk UMwwrite,
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Rev 10/12/21