HomeMy WebLinkAboutBuilding Permit Application11-Feb-2022 16:06 From Sharon Waltermire. Phone #7725710899
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FaxZero.com P.2
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ' n n J
Date: _2/3/2022_ Permit Number: �� V 04S7
s-', LLLLL ....� , RECEIVED
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`- L t? i;" E L' t� Building Permit Application FEB 2022
Planning and Development Services 9t, LUCID Cout*, fl®fffiittif19
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:
PROPOSED IMPROVEMENT LOCATION:
Address: 6603 CITRUS PARK BLVD FT. PIERCE 34951
Property Tax ID #: 1301-611-0401-000-4 Lot No._18_
Site Plan Name: Block No. 118
Project Name: MIELE
j DETAILED DESCRIPTION OF WORK:
L.
_INSTALLATION OF NEW ELECTRICAL SERVICE J�%jo IT C -A
Electrical Meter X Second Electrical Meter (Affidavit required)
CONSTRUCTION INFORMATION: I
Additional work to be performed under this permit— check all that apply:
Mechanical ^ Gas Tank _ Gas Piping _ Shutters Windows/Doors _ Pond
X_Electric _ Plumbing _ Sprinklers _ Generator
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Roof - Pitch
Cost of Construction: $ _2800.00 Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name DOMENIC MIELE
Name: RICHARD WALTERMIRE
Address: 6603 CITRUS PARK BLVD
Company: TWIN RIVERS PROPERTY MAINTENANCE INC
City: FT. PIERCE State: FL_
Address: 13180105TH ST
Zip Code: 349S] Fax:
City: FELLSMERE State: FL
Phone No. (772) 579-0467
Zip Code: 32948 Fax:
E- Mail: DMIELE6603@GMAIL.COM
Phone No: (772) 571-0899
Fill in fee simple Title Holder on next page (If different
E-Mail: TWINRIVERSPM@YAHOO.COM
from the Owner listed above)
State or County License 13006151
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.
11-Feb-2022 16:06 From Sharon Waltermire. Phone #7725710899 FaxZero.com
p.3
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Name: _
Address:
City:
Zip:
Phone
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City-
1
Zip: - -- - Phone:
Not Applica
State:
Not Applicable
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
?C Not Applicable
ate:
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
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 1 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 County and posted on the jobsite before the first. inspection. If you intend to obtain financing, consult
with lender or an attornev before commencing work or recording your Notice of Commencement.
Signature of Cofritractor - or - Owner Builder as applicable
STATE Ol� FLORIDA _
COUNTY OF i i i j 3,
Sworn to (or affirmed) and subscribed before me of _ Physical Presence or Online Notarization !
this J)�Lt day of _%3'T , 20 by
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Name of person making statement.
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Personally Known OR Produced Identification
entific�ation Produced
Type pf IdZL
(Signaof Nct�ary Public- State of Florida)
Commission NAM 0d:�-O If (Seal) 'P.
IA
MAiAin#H
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Commisalon � HH 002076
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Expires May 20, 2024
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Rev 10/12/21