HomeMy WebLinkAboutBuilding Permit ApplicaTION All APP JUFO MUST BE COMPLEFED MR APPUCARONTO BE ACCEPYED
Late: Permit Numbes:
RECEIVED
V4 yht FEB 04 2022
Bullidgh9ftffift Application
2300 Wrgimd Aevv aue,Fait Pierre FL 34.982
Phone:1772,j 462-1553 Fax.(1772D 4672-157$ CBDG Funding
PERMIT APPT190u FOR: C1V$�1'et1�
PROSFD1UPROVNT DTI +...
Address: Llc. � 1�C1 1��� ,k
Pro Tax IUD#:2%a4c, — 1—CLD Lot,No.
Site Plana :agree: �1�4�� � � ��� `�'S1 Ore Wock lea.
Project Name: i I
DETAILED DESCRIPTION of WORK: -
New Ciectricai deter Second:EleCaricai Meter (Afifidavit requir )
CONSTRUCHON INFORMATION:
Additional umrk to be pert armed under this pram u—check all that apWV:
_Mechanical _teas Tank _Gas Piftg _Sh=ers _Windows/Doors _Pond
Electric _Puumh5ng _Sprii nkllers -Generator _Roof Pitch
Total Sq.Ft of Canstruction: Sq.Ft.of First Floor:
Cost of Construction:�; - U alines: _Sewer _Septic Building Height:
OWNER/LESSEE: - CONTRACTOR:--
Name
� �) . e-nQ—' Blame:
Address: ��� 5��`� Company:
City. 4 �``� Company-
State Address:
Tip Code:—Jy'C�Z Fax: City State:
Phone No, E- �aFr Code: Fax:
Mail: �(-CD C+Ot�� —i'. (1 P- Phone No
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$7,500 or more,a RECORDED Notice of Commencement is required.
w
4 I PLE1
DESIGNER/EBIGINEER: _Not AP1,010icaMe MORTGAGE COMPANY: �Kut Appflcahge
KraaIBS '= Name:
Add,Tess: Address:
CU$v: State: C—t : state:
Zip: Phone Zip: F'hork!-.
FfEE SIMPLE HOi.iEliER: _Not Appkahga BONDING COMPANY: Not Appliaable
Marne: Name:
Address: Add. -
Cdy
7jp. phmne:
Off, NE COS OR TFID f: pikaw-inn to ebtai.Th a peran,aa to�co tB�e� ����ad am 9R����as in docated.
I cer tifff that uoo ttfik r7 unasitaU( v has commenced r to 6e issuuanM of a bait
St.Lu de nt''M.4ke's�f, r�mLa�mn os outing a parg0!t mirl!)aut�er"�the PETq-,&�.r der�ha;?ild�e snli�- _b���re
which conflicts��Wt our a calbt-Homeow ners,�ssociatioun mules,bV0.ava orr and covenants that may rctuctt cr pmhFbit such
structure.p9ease C't tl��MNh ynur H o'emirs.Assocatiozn an, �e-Tu-1v your deed for any restrictions v-Ak n way app�y.
In consideration of the arkf r4g af taus requested permit,I do hereby agree that 5 IN,in all respects,perfu vTm tfue woek
'sup acco rdancra with the appr,wed plans,tine FIo rda Bu1Idi ng des and St.Lade County Amen.dments.
The Wloereoung building pennuutt applications are exempt from undergoing a full councurrenncy+review:room additions,
aVZL=T'RWv l uaa, Ig; ram,wAls,signs,screen ra;lwas and to another non-tresfderu W use
WARNING TO,OWNER:Your failure to Record a Notice of Commencement may result in paying twice for
ampirovements to your pu'ope-y.A Notice die 4..d7m"sTdend`ennent must"ram recarded idn the public records of St.
Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing,consult
wi kinder or an actor befem, comrs encin work or remrdhng yXur Xotice of nwnenoern-nt.
.ure of Gang-oe-M-ram RdMlez as apq5=
SATE OF FLDA
COUNWOF
Swanto f or aflu < and s ubscrihed before me of � Byh��al Inme�rer,�ou OnBim l deade n
thG day of 2 b'
Name of peTwn making g sttartienm nt.
Personal9y Known ' OR PToeluuced Identification
Type ofaurttn
(sign f No-tan-,Public-5ttatt f Florida)
Commission No. (seal) RA"MIRG
IASHAHNAINGRAMGG 275060
my OMISSION# .
EXPIRES:p�mbec 20,2022
`� oe�' u No18tY Wb4c UndemtNers ter
RME7.fc, ER A ?'ti>W.BING, SUPEM. _93 ' ' RIM115 r \VEGETA01011 SEATURTEE 9�IAHGPOVE
COUNTER REVIEW REVIEW I REVIEW REVIEW REVIEW RMEW
DATC
RECEIVED
DATE
COMPLETED
Rear 1GM 12 ?1