HomeMy WebLinkAboutpermit 3008 Aderson DrAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
ti Ll rGUL
Building Permit Application
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
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: 3rC1� PrldLr on fir.
Property Tax ID#: _ q (M - Oc7p - 9 Lot No, cf
Site Plan Name: _ Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
_7_e__Gr- n I;r eus4-iO3 r00{ Qnd 1n<�elt t�av S�,:t.w�e5 Qnd
_
k)o8w Iat�tM�n+.
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit -check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters —Windows/Doors Pond
Electric _ Plumbing _ Sprinklers _ Generator 4 Roof —5/ra Pitch
Total Sq. Ft of Construction: /W Sq. Ft. of First Floor:
Cost of Construction: $ 9)000 Utilities: —Sewer —Septic Building Height: x
OWNER/LESSEE:
CONTRACTOR:
Name C717a
Name: r' n a(o✓le
Address: 1006?foMC.A(XPC, Wck4l
Company ram,cur'L C. 4 IZnDF1A0'
City: Earl 'DiQ.fCq_ Stater
T
Address:_L$1f. Svc ►�iikYV�m <11-•
City: 3y q Wt( l?y pY4 34. LV tz'k State: F4
Zip Code: 34q !� 8 Fax:
Phone No.
Zip Code: aqq% i Fax:
E-Mail:
Phone No 7-7d- 370 -9770
_
E-Mail _ T �00>C%JCt LLC�%tC'i7flr�cow!
Fill in fee simple Title Holder on next page ( if different
State or County License__InCG
from the Owner listed above)
—or
If value of construction is 250 more, a RECORDED Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
DESIGNER ENGINEER: _ Not Applicable
MORTGAGE COMPANY: Not Applicable
Name:
Name:
Address:
Address:
I
City: State:
City: State:
Zip: Phone
Zip: Phone:
BONDING COMPANY: Not Applicable j
FEE SIMPLE TITLE HOLDER: ^ Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to dothe 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 is in conflict with anyapplicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners 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
aan attorney before commencing work or recording your Commencement.
-�of
rNNotice
Signature of Owner/ Less_ { o6tr6ctor as Agent for Owner
Signature of Cant r se Holder
STATE OF FLORID g
STATE OF FLO DA
COUNTY OF � ))CT _
COUNTY OF 1 C7%-(—
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarizati
Sworn to (or affirmed) and subscribed before me of
x Physical Presenc or_ Online Notarization
_
this�day of :t 16 , 202tDy f7l�
his I_ day of 202g by
f r GJr
i
Name of person making statem .� Z
ame of person making stateme4e.
0 0 o
Personally Known L OR Produced Identificati 3 3 "
rsonally Known �� OR Produced IdentificType
of Identification _
91 pe of Identification
Produced o a
oduced
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of Notary Public- State of F1 ida) W m o
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FRONT
ZONING SUPERVISOR
PLANS
VEGETATION
SEA TURTtE
.REVIEWS
VECOUNTER
REVIEW REVIEW
REVIEW
REVIEW
REVIEW�J
DATE
RECEIVED
DATE
COMPLETED J1