HomeMy WebLinkAboutBUILDING PERMIT APP - 343 SE VERADA AVE All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
�_L U_I CI
1 1t;'IF N1. ,
L-7 L ` `` L `' `' Building Permit Application
Planning and Development Services X
Building and Code Regulation Division Commercial Residential / _\
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578
PERMIT APPLICATION FOR: 1
PROPOSED IMPROVEMENT LOCATION:
Address: 2)N2 SE Cr-a '10,
Property Tax ID k:�y IQ - �� ^ p0�I O ' 0 UO -S Lot No. Li 0
Site Plan Name: Block No. 3)
Project Name:
DETAILED DESCRIPTION OF WORK:
ear -C e-V i-e' tea ro0-' an LA Atl n Q VJ
Gnc� Uf\C�Q,.-
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 x Roof 5�60 Pitch
Total Sq. Ft of Construction: QG 13 Sq. Ft. of First Floor:
Cost of Construction: S /!4 000 Utilities: -Sewer —Septic Building Height:
0 W N ER/LESSEE: CONTRACTOR:
Name -i P%•Kk Name: t-ICxr\
Address: �•O ) d`Jl �\�cI4 Company: ire Ct u( - C1
City:j�pt� 5}• G� State:F� Address:J$f6 SW �k% k 1 Orc �SA
ZipCode:��Ci fax: City:�J4� S Lu Cn� Stater
Phone No. C}�S� Sf39 yo a3 Zip Code:'l`-(C I(A Fax: �
E-Mail: Phone No 7 '74- - cl-7
Fill in fee simple Title Holder on next page (if different E-Mail T aa":n I r Q.i .c4r
from the Owner listed above) State or County License
If value of construction is ZS00 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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3 p V
DESIGNER ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLEHOLDER: _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 subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or an q 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 attorney before commencing work or recording our Notice of Commencement.
Signature of O er/L see( trac as Agent for Owner Signature o Contractor) 'ceps H Ider
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF 51- Zo"e COUNTYOF Sf I riiN
Sworn to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
k Physical Presence or—Online Notarization X Physical Presence or_Online Notarization
this 2_day of FEW 29-6by this day of FE13 .2630 by
2023 /1 ?OZJ
0./dn T /'/G/ne✓ r 'oe, .r Ma/ane;4
Name of person making statement. Name of person making statement.
Personally Known k OR Produced Identification Personally Known ,1t .OR Produced Identification
Type of identification Type of Identification
Produced Produced
Signature of Notary public-State of Florida ), ( nature of Notary Public-State of Florida )
E Commission No. /, ,?// 36S (Seal) Commission No. 676 .?//34S (Seal)
REVIEWS FRONT ZONING i SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW I REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.
JOSHUA REDHEAD
�o Notary Public-State of Florida JOSHUA REDHEA11
_ 000pv aya%
%jy o My Commission Exp rn
ires - - R_ c;ommi^lion N G6 311365
io March 13 2073 Y �Ss.Cr My Cumission Expires
_;_ ._._.�._...___ March 13, 7073