HomeMy WebLinkAboutBUILDING PERMIT APPLICATION AllAPPLLCABLE INFO MUST.'BE GOMPLETEU'FOR ARPL(CAT,ION TCQ.BE ACCEPTED
Date : 01f311 022 Permit Number-:. LIQ '—o3��
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Building Permit;Application
Planning and Development Services:
Btnldin0O:CddeR,L—Wa 11'TX.
.:tionMvWoh; C0mer al ReSICle`iitla!
230D.Virgtnio;Avenu.e;FortPiercelL 34982:
Phone;(772).4624553:Fax:(7za)462-1S7g: CBDG Funding
PERMITAPPLICAT,IQN, FOR' �
F?ROP®S�D lltiPR01lEMI�T LOCATiaN . . '
Address: 7806'P'6ciloc Ai'enias
Property Tax ID O: 4301 605-01'05-000-0 Lot No., :
Site Plan Name: _ 810'ck,N6. dA`
Project Name: f yri�]wstaiair
C?ETAlLED bESCRIP7"ION:OF WORK
Repla�P and Wid.;Pn;existinQ&WPway from carport to nropprty fib. 1t}°`ch,x V
3500 psi mesh,concrete
New Electrical Met. _ Se.co.nd Electrical'Meter (Affidavit i duired)
CONSTRUCTION INFORNJ¥ATI�I�
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Additional workto beperforrried under this.,permit-check al(that apply:
_Mechanical _Gas tank —Gas Piping Shutters _Windows%Doors Pond
_Electric _Plumbing: ^Sprinklers _Generator -Roof :Pitch
Total 5q. Ft of.Construction: Sq.Ft.of First Floor;
Gost.of..Construction:$:_$2456, Utilities: _Sewer _Septic Building Height:.
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�OUt/NER/LESSEE CONTRAC 4OR
E
Name Trina McLoud Name:
Address;'. W6'Paeific Avehb'e< Company:
City:n Fort Pierce State: Address: f
Zip Code: 45I Fars City: State:
Phone No: 7172-80 1965' E Zip Code: Fax:
'.fVlail +r��,a�a�� lRud��slt�me2l cot» Phone:No �
Fill in feesimple:Title Ho.lder'on next:page'(f'different &Mall
[froth the Ovvner'ilsted°:above)` :State.or County'License
tf value.of'construction-is 2500.or more;,a RECORDEb Notice of Commencement'is required. i
If value;of HAVC-is;$7,500'or Moro a RECORDED Notice:of Cort mencement 1s4equlred::
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SUPPLEMENTAL CONSTRUCTI(3N-LIEN LAW'INFORMATION
DESIGNER/ENGINEEti: _Not Applicable. MORTGAGE:COMPANY: ^Not Applicable.
Name: Name:
Address: Address•
City:. State: City: State:
Zip.!. Phone_ Z _ . Phone i.. .
•' p.
FEE SIMPLE TITLE HOLDER': _Not Applicable BONDING COMPANY; =Not Applicable
Name: Name:
Address Address:
City: . City:
Zip: Phone: Zip: Phone:
OWNER/CONTRACTOR AFFIDVIT: Application is hereby madeto obtain a permit to clothe work 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 perrriit'holder to build the subject structure
which conflicts with an�applicable Homeowners Association rules,bylaws or and covenants that may restrict or prohlbitsuch
structure.Please consu applicable
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-Cor menci?rhent 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 attorne `before commencing Work or recording Your Notice of Commencement.
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Signature-of Contractor-or-.Owner Builder as applicable
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STATE OF FLORIDA
CbUNTY OF
Sworn to(or affirmed)and subscribed before me of Physical Presence or . Online Notarization
this:30day of 2081.by j
i
Name of person making staterTient
Personally Known OR Produced Identification.
Ty of Identification:,Pr used
W�,F�
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{Sig tore of.Riotary,Public State of Florida)
L�7 t�yv vo JEANA L PITTS
Commission No. (Seal) Notary Public 5tbteofFlo]Assr.,
mo o_ Commission GG 338.1
~�orFti°� My Cornin.Expires May 27:
Bonded through National Notary
REVIEWS 'FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER- REVIEW REVIEW ;REVIEW REVIEW REVIEW REVIEW
DATE'
RECEIVED
DATE_
,COMPLETED
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