HomeMy WebLinkAbout709 NE Camino Building permit applicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date.
Permit Number. -
Building Permit Application
rronnrrrg and Development Services
Building and Code RegLrlptron Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 452-1553 Fax: (772) 462-1578
Commercial
CBDG Funding
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address:71)9 NVJ C
Prope rt Tax I D # :
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
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f
Residential �
SO
Lot No.
Block No.
New Electrical Meter Second Electrical Meter � Y
(Affidavit required) �
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit — check
all that apply:
Mechanical �Gas Tank Gas Piping Shutters
utter
Electric
Plumbing
Total Sq. F# of Construction:
Cost of Constructian: $ ,�Qa.•
OWNER/LESSEE:
prinllr
den ratr
Win
s/Doors Pond
7Roof Pitch
Sq. Ft. of First Floor, -
Utilities: ' Surer Septic Building Height:
N a m e. jo'_ ,
Address: _7 7_
:�/Zze
_-.tate-4
Zip Code: Fax:
Phone No. E-
Mail:
Fill in fee sires pile Title Holder on next if different
from the Owner fisted above)
CONTRACTOR:
Name:
Company:
Address.--
City: '
Zip Code:
Phone o
E-Ilai I
State or County License
If value of construction is 2500 or more, a RECORDED Notice of Commencemen
t is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement ment is required.
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Fa
I n X
State:
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
j DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY:
Name:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: _Not Applicable
Name:
Address:
City:
Zip: Phone. -
Not Applicable
Name.
It
Address:
City- State:
zip: Phone:
BONDING COMPANY: _Not Applicable
None:
Address:
City:
Zip: Phone:
OWNER/ CONTRA OR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
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 tie 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 wGth your Homeowners Association and reWsew 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 tram undergoing a fill cancurrency 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
Fmprovements 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 attar_ before§,ommenciU-work or recording your Notice of Commencement.
ure of Contractor -
STATE OF FLORIDA
COUNTY OF
Sworn to (or affirm
this day of
as applicable
i&L&Uf *Lbv
d subscribed before me of
-12024
Narne of person making statement,
Personally Known OR Produced Identification
Type of Id
d pfification Produced
ure or iNotary Vuolic- State of Florida)
Commission No.
f
Physical Presence or Online Notarization