HomeMy WebLinkAboutBuilding Permit Application 2-21-22 02/18/2022 FRI 13: 55 FAx 772 3367566 AC Advantage, inc. �001/,403
All APPLICABLE INFO MUST BE COMPLETED FOR 4PPLIC ON TO BE ACCEPTED Date: ,c+�4 N% :; -Permit Number, rn`'�����
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° Building #Wmit Application
Planning and Develapment,Services
Building and Code Regulotr'on Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)4.62-1553 Fax: (772)462-1578 CBDG Funding
PERMIT APPLICATION FOR: >WAC vY1(__CVJaV-)L Q
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:PI t POSiED;� R.R4 :II: tN,T,
Address: :S1 P ✓GL% t
Property Tax ID U: 3-52-Z ' G VS ' 00(�" C00 Lot No.
Site Plan Name: qq � -11 Block No.
Project Name:
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New Electrical Meter Second Electrical Meter (Affidavit required)
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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 _Roof Pitch
1
Total Sq. Ft of Construction; Sq. Ft.of First Floor:
f7 1
Cost of Construction:.$ 1 a Utilities: _Sewer _Septic Building Height:
Name eltevi Ut. Name: kA 6:z� i
Address: I ?S kA ekA) ✓GLI Company:
City PS LU_C.'k State: E1 Aidre , Z
Zip Code; '54A%a ;.; Fax: City: Gl-� State: ""�--
Phone No. E- Zip Code: Fax:T1�13 `1S(a�
Mail: Phone No_ 11 2- a;L `"l6GW l
FIII In fee simple Title Holder on next page(If different E-Mail G h VOA l LAC-.C1 M
from the Owner listed above) State or County Licensees
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.
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02/18/2022 FRI 13a56 FAX 772 3367566 AC Advantage, inc. 2002/003
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S 1P,P 1�(I'ENTiA p:NSTRUCTION,�r N>1 ► .i�IF i'Arl; N
DESIGNER ENGINEER:, Not Applicable MORTGAGE COMPANY: _Not Applicable i
Name: Name:
Address: ! Address:
City: State: City: State:
Zip:_ Phone Zip: Phone.-
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip; Phone: Zip: Phone:
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 subfect structure
which conflicts with an applicable Homeowners Association rules,bylaws or and covenants that may restrict or prohibit such
structure.Please con su�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 I will,in all respects,perform the work
in accordance with the approved plans,the Florida Building Codes and 5t.Lucie County Amendments. 1
The following building permit applications are exempt from undergoing a full concurrency review:room additions, i
accessory structures,swimmng 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 attorp_@y,before commencing work or recording our Notice of Commencement.
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SI ature of Contractor-or-Owner Builder as applicable I
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STATE OF FLORIDA
COUNTY OF .S+ L.c�-Gc <✓
Sworn to(or affirm 1 and'subscribed before me of _>L Physical Presence or Online Notarization
this 118 day of f _._,20-22-by
Name of person making statement.
Personally Known •,X roduced Identification
Type of Identification Pro cad
(Si ature Notary Public-;State of Florida) Jamie Perna
pUBLIC
Commission No 2�� �-(Seal) NATARYFFLOR
BTATB
OF FLORIDA i
Commis►G0267323
Hxplreci 10/2812022
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REVIEWS FRONTS ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE i
COUNTE,R1 REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW 1
DATE
RECEIVED
DATE
COMPLETED
ev 10/12/21
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