HomeMy WebLinkAbout8229 MULLIGAN CIR, UNIT 6321, PSL, FL. 34986 SLC PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED A
Date: �C Q Permit Number:
LU * .. ,
i
V L c a� L rJ rk Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierre FL 94922
Phone: (772) 462-1553 Fax: (772) 462-1578 CBDG Funding
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
AA III - 0 _ _ 11 . l
Address:
0&_ 6
Property Tax ID #: 3 :a - 4 - Lot No. _
Site Plan Name: I 0a.Z lock No. _
Project Name: i ' �-' `
:71!19raUffelaf rLalN1116
New Electrical Meter r yr J Second Electrical Meter (Affidavit required)
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit - check all that apply:
_Mechanical — Gas Tank _ Gas Piping _ Shutters _ Windows/Doors Pond
Electric 1i Plumbing Sprinklers ___. Generator __ Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $ rA,2Y-IBC Q
OWNER/LESSEE:
Name . kkc,10,`.i
Sq. Ft. of First Floor:
Utilities: _ Sewer , Septic
Address: or`I DT, L , ��
city, stwt., A !
Zip Code Fax' --
Phone No. -$ - E-
I Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
CONTRACTOR:
Name: ffia {-A
Building Height:
Company:
Address: 14W5 K2W L Tc-
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City- �6r!- S1-_ I &Lc is e
Zip Code: Fax: -17a-7-4 1'r's�ii�q _
Phone No "X-f2 ►- ckLkq i �_—
E-Mail�„�t. Y�n��►C1�.c
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 LAIN INFORMATION:
DESIGNER/ENGINEER: 3 Not Applicable I MORTGAGE COMPANY: _)— Not Applicable
Name: _
Ad d ress:
City:
Zip:
Phone
State
FEE SIMPLE TITLE HOLDER; N Not Applicable
Name:
Address:
City:
Zip: Phone: _
Name: _
Address:
City:
Zip:
Phone:
BONDING COMPANY:
Name: _
Address:
City:
zip:.
Phone:
State:
4Not 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 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 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 attorneeTbefore commencing work or recording your Notice of Commencement.
Signature of Contractor - or - Owner Builder as applicable
STATE OF FLORIDA ,
COUNTY OF t '� �- UZ
Sworn to (or affirmed) and subscribed before me of Physical Presence or Online Notarization
this 1 day of kbr�d, 202A� by
Name of person making statement.
�t%
Personally Known " OR Produced Identification
Type of Identification Produced
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�;ir:y JULIE JANE Com i Notary Public - Cammission My Comm. ExpirBonded through Natio
REVIEWS FRONT ZONING SUPERVISOR R vArNw vREVIEWON S REV EWpE_ MR REVIEW
COUNTER. REVIEW REVIEW � __�
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COMPf_ETED