HomeMy WebLinkAboutCastro Building permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
o u l _. ..
If. ° " - - 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 CBDG Funding
PERMIT APPLICATION FOR: 1 C 1 _C_
PROPOSED IMPROVEMENT LOCATION:
Address: r 11 U Z ^ L_ 3 -� - - 1.. L :- 1 1
Property Tax ID #: '34 v - - o 1 S U 00 / (►` "v' '3`iw )
Lot No,
Site Plan Name: �' �_ 1-r v Block No.
Project Name: ek S v V- o
DETAILED DESCRIPTION OF WORK:
1`7 n `JU UG
c� w�
c� C Q ) 5
New Electrical Meter Second Electrical Meter (Affidavit required)
CONSTRUCTION INFORMATION:
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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: Sq. Ft. of First Floor:
Cost of Construction: $ , -I c)o - r� cD Utilities: —Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name C ti
Name: )Ct
Company: �O_iv�
Address: 3S niz S,c_.i 1,iryL
Address: r,x l ram..
City: -o i z. Ce State: '�_-L
City: ,r,-5„r� 3 z it_ c:1;� Stater
Zip Code: 34 G1 Fax:
Phone No. 4 ❑ �, �'' - l ; E-
Zip Code: 3`1`iy-1 faxes
Mail:
PNMt-Nou1K'. kec'-�;3`. 5"33
E-Mail '�A %_> S 333 1 . c"rr�
Fill in fee simple Title Holder on next page (if different
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 Applica
Name:
Address:
City:
Zip:
Phone
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: _ Phone:
State
Not Applicable
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip:
Phone:
Not Applicable
State:
Not Applicable
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
wh ch conflicts with any applicable Homeowners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult 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 Eccordance 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 attorney before commencing work or recording our Notice of Commencement.
6nature of Contractor - or - Owner Builder as applicable
STATE OF FLORIDA
COUNTY OF W.c-ire
Sworn to (or affirmed) and subscribed before me of f ysical Presence or Online Notarization
this "_ day of +chroc-.—% , 20 xzby
Name of person making statement.
Personally Known ___6 _---OR Produced Identification
Type of Identification Produced �Clcrs. rtc_ 1r'tsd�g-g L,c«,L�
Ld..t� C e)ck _�L'
(Signature of Notary Public- State of Florida)
!e KARENCGDERRE
Commission No.G(,- % l 0-0 1 (Seal) ?,; ,; MY COMMISSION#GG981001
o' EXPIRES: April 23, 2024
'• A' fv?¢' Bonded TMu Notary Public Underwriters
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DATE
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DATE
COMPLETED
FRONT I ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE
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MANGROVE
REVIEW