HomeMy WebLinkAboutKirchner permit appAII APPTICABLE INFO MUST BE COMPLETED FOR APPUCATION TO BE ACCEPTEDPermit Number:Building Permit ApplicationPlonning ond Development SeruicesEuilding ond Code Regulotioo Division23oo Viryinio Avenue, Fott Pierce FL 34982Phonet (7721 462-L553 tax: (7721 462-1.578CommercialResidentialxCBDG FundingProperty Tax lD #:Site Plan Name:l5o1-1", Db - Ds:\g- Doo-(lLot No. 2EBlock ruo. 5'lProject Name:New Electrical MeterSecond Electrical Meter(Affidavit required)CONSTRUCTION INFORMATION :Additional work to be performed under this permit - check all that apply:_Mechanical _ Gas Tank _ Gas PipinB_ Shutters _ Windows/DoorsGenerator Roof_ PondPitchElectric_ Plumbing _ SprinklersTotal Sq. Ft of Construction:Sq. Ft. of First Floor:cost of construction S 1,c'\CL) -Utilities: _ Sewer _ Septic Building Height:lfvalue ofconstruction is 25OO or more, a RECORDED Notice of Commencement is required'PERMIT APPLICATION FOR:PROPOSED I MPROVEMENT LOCATION :DETAILED DESCRIPTION OF WORK:OWNER/LESSEE:CONTRACTOR:NameAddress: q qc\ 6jr t [u(,\ \u^ fu eCity:State: (:Lzip coae: 3Yct 5lFax:E.Mail:Fill in fee simple Title Holder on next page (if differentfrom the Owner listed abovelNameiMco,np)i!, t)t..r.cr F. Mr\\trnddress: 353i S . ).S $- S1-State:F Lzip code: 31,1 q I Fax:Phone NoE-MailState or County License8,C r.1S,-1,'131.Nielfvalue of HAVC is S7,5oo or more, a REcoRDED Notice of commencement is required.Date:\^,\ -f..sn\o \<rl ct\,^ r*rr..; rvr c-tnp < - J' x2' r< r,l c. \.,,1 G--.:.,{-e-rr
FEE SIMPIE TITTE HOLDER: - Not ApplicableName:BONDING COMPANY: _Not ApplicableOWNER/ 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 Countv makes no reoresentation that is srantinE a Dermit will authorize the oermit holder to build the subiect structurewhich conflicts with anv aoDlicable Homeownerslssocia-tioh rules, bvlaws or and corienants that mav restrict or or6hibit suchstructure. Please consult with your Homeowners Association and ieview your deed for any restrictioris which may apply.ln conslderation of the grantlng of this requested permit, I do hereby agree that I will, in all respects, perform the workin 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 st.uctures, swimming pools, fences, walls, siEns, screen rooms and accessory uses to another non-residential useWARNING TO OWNER: Your failure to Record a Notice of Commencement may result in paying twice for)ur failure to Record a Notice of Commencement may result in paying twice forr property. A Notice of Commencement must be recorded in the public reimprovements tqyour property. A Notice of Commencement must be recorded in the public records of 5t.Lucie County agrd posted on the jobsite before the first inspection. lf you intend to obtain financing, consult(lr r\)l .l-t Lo-l e-sworn to (or affithiv(' day ofllbL-Notaryr',ro. iH37sG)-$""\) and subscribed before me of'1--',n t rt t ,.1 . zoZ-tyIotary Publlc - State ol Florid.Ay Comft. Expirer Sep 3, 2021SU PPLEM ENTAL CONSTRUCTI ON LI EN LAW I N FORMATION :Name:-@ndar"r@City:T.rffiMORTGAGE COMPANY:Y Not ApplicableName:Address:_City: _Zip: _Address:City: _Zipt _Phone:Name:Address:City: _Zip: _Phone:Personally Known