HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED2.26
Date: Permit Number:
RECEIVE
p ` ''``�° a �"D A ' ✓ Building Permit Application St.Permittingluo fitting ry
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 CBDG Funding
PERMIT APPLICATION FOR:
I?ROPOSEDI�UiRtROVEMENT L'OCATIN
Address: 8263 Riviera WAY
Property Tax ID#: 3327-711-0030-000-5 Lot No.
Site Plan Name: POD 18 AT THE RESERVE PUD II (PB 40-16) LOT 23 (OR 3610-335 Block No.
Project Name: Geiger Residence Replacement
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Replace 7 windows to impact
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l New Electrical Meter Second Electrical Meter _(Affidavit required)
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STRUf'T10,' r INFORMATION ' }
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Additional work to be performed under this permit—check all that apply:
I� —Mechanical _Gas Tank —Gas Piping _Shutters X.Windows/Doors _ Pond 9
Electric —Plumbing —Sprinklers Generator _Roof Pitch
pl —Total Sq. Ft of Construction: Sq. Ft. of First Floor: !
Cost of Construction:$ 10,280 Utilities: _Sewer —Septic Building Height:
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Name— James C Geiger. Vicki Geiger _ Name: Chris Woods
a Address: 8263 Riviera WAY Company: Impact Experts
,a City!_ PT St lucie FL
State:— Address: 1405,NE Meyers Ter
Lip Code: 34986 Fax:_ City: Jensen beach fl State:
Phone No. 407-687-0670 _E- Zip Code: 34957 Fax: � t
Mail: Vickiyourrealor@gmail.cWr. Phone No 772-285-9342 I
11 F1II in fee simple Title Holder on next page (if different E-Maii Cwoodscorp@yahoo.com
from the Owner listed above) State or County License CGC1519929
If vague of construction is 2500 or more,a RECORDED Notice of Commencement is required. i
it vaiue of HAVC is$7,500 or more,a RECORDED Notice of Commencement is required.
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SURPLEMENT-At �Oi45TRV T IN AC JRS1 f-�Tl $5
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DESIGNER/ENGINEER: _ Not Applicable 5AORTGAGE COMPANY: —_ Not Applicable
Name: - - I dame:— -
Address: Address:
City: State: City: State:
Zip: phone — yip. ---- Phone: - -
FEE SIMPLE TITLE HOLDER: —_Not Applicable BONDING COMPANY: Not Applicable
Name: _ Name: I
Address: Address:
I ----
I� City: City,. --
Zip: Phone: -- Zip: Phone:
OWNER/CONTRACTOR AFFIDVIT: Application is hereby made to ottain 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 Count makes no i'presentation that is granting a erm,it wi:l authorize the ermit.hulder to build the subject structure
which conflicts with any applicable Homeowners Association rules, bylay.,s ur and covenants that may restrict or prohibit such
3 structure. Please consult with your Homeowners Association and review your deed for any restrictions which may apply. I
i� In consideration of the granting of this requested permit, 1 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 accessary uses to another non-residential use
I WARNING TO OWNER_ :,Your'failure to Record'a Notice of Commencement may result in paying twice for
6! improvement s to ar property. A Notice;of Commencement must be recorded in the public records of St.
Lucie C-punty a pos ed on the jobsite before the first inspection. if you intend to obtain financing, consult
with .ender o an att rney before commencing work or recordinyvur Notice of Commencement. F
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Signature of Contractor-or-Owner Builder as applicable
STATE OF FLORIDA -� r
I COUNTY OF �`� tuu 6c_
Sworn to(or affirmed)and subscribed before me of physical Presence or Online Notarization
this day of f_ 2022-bv I
�I
Name of person making statement.
Personally Known OR Pro uced Identification
Type Identification Produced PL- (./3
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(Signature of Notary Puhlic-S to of Floritla)
Commission No. (Seal) ,•� Y>�a, HEATHER BURFORD
��Notary Public-State of Florida
=��` Commission# HH 216910
My Commission Expires
February 06,2026
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