HomeMy WebLinkAboutRicardo Florez Fence Permit Application0001All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
T.ILUMIE
Building Permit Application
Planning and Development Services /
Building and Code Regulation Division Commercial Residential ✓
2300 Virginia Avenue, Fort Pierce FL 34982.
Phone: (772) 462-1553 Fax: (772) 462-1578 CBDG Funding
PERMIT APPLICATION FOR:
Address: 33 lei Nome k" Dr. F+. Pie2C-6 FL_. 3cigqLk.5
IF
Property Tax ID #: 23d7- .221 _ oyI Cp oo— tp
Site Plan Name: N I R
Project Name:
New Electrical Meter Second Electrical Meter (Affidavit required)
Lot No.�
Block No.
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
Total Sq. Ft of Construction:
Cost of Construction: $ 0300
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
`OWNER]„�,
�o
Name I1 i711-Qal FIc72��
Name: C�1'F►1��A1��
Address:331et WOr»r_-S%RA ii)Y-
Company: "- Co. LLC-
City: r4. PI'Q2GQi State:R..
ZipCode:3ci"g4S''Fax: ►JIfl
Phone No. G35q- Ivto— 50I0 E-
Address: Whri150 I�fdte PFl24— Dir.
City: ?CO cS*. LUG State:0.
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Zip Code: Nor? Fax: 7JI&
Phone No %7.;t --/3�32
Mail: Ya1oh%O Q9 eD Par" i I • carY-t
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail T% rJ7ar,*cnC9Jj Ce () ! pMct. I. Ufr-n
State or County License 3(O�
u vamn of construction is [�uu or more, a RECURDEU Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
aSUPP! E, NTAL C01�5T t1CTlUNQUIE. IA
DESIGNER/ENGINEER:
_ Not Applicable
MORTGAGE COMPANY: _
Not Applicable
Name:
Name:
Address:
A
Address:
City:
State:
City:
State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
_ Not Applicable
BONDING COMPANY: _Not
Applicable
Name:
Name:
Address: n
Address:
City:
City:
Zip: Phon :
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 ofa permit.
St. Lucie County makes no representation that is granting a permit will authorize the 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 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 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 attorneybefore commencingwork or recordin our Notice of Commencement.
t2�
Signature of tractor - or - Own r uilder as applicable
STATEOF LOR}B�,.otard
COUNTY OF ''''��II IIAA 11r�11
Swornsf (or affirmed) and subscribed before me of Physical Presence or_ Online Notarization
this I day of MOVOn 202243y
Jesnh MMcif i ,ine
Name of person making sta ment.
Personally Known OR Produced Identification
Type of Identification P oduced
(Sig tpre of Not Public- State of Florida)
Commission No. (Seal) r i "Si+, UNDRAYOUNG
WcommWIONSHN 168M
MRES:Fehuary19,2o�
'�'�%a°"•'• BOndrE 7Muibl/rH6Bc.,,.,wmWO
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