Loading...
HomeMy WebLinkAboutApplication 5312 Bowling Green_000743All APPLICABLE I FO MUST BE COMPLETED FOR APPLK-ATION TO BE ACCEPTE Date: Z �� 2 Permit N : tuber: �L LLCM Building Permit Application Planning and Development Services Building and Code Regulation Division Commercial Residential V 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 CBDG Funding PERMIT APPLICATION FOR: PROPOSED IMPROVEMENT LOCATION: Address: 2 Property Tax ID #: Site Plan Name: Project Name: TAILED DESCRIPTION OF WORK: Lot No. / % D Block No. J 2— GG'G�'LLf2YC New Electrical Meter Second Electrical Meter JA fidavit required) CONSTRUCTION INFORMATION: Additional work to be performed under this permit — check all that apply: _Mechanical _ Gas Tank —Gas Piping _ Shutters _ Electric _ Plumbing _ Sprinklers _ Generator Total Sq. Ft of Construction: Sq. Ft. of First Floc Cost of Construction: $ /0 , 76"0 Utilities: —Sewer _ Windows/Doors _ Pond Roof Pitch ieptiBuilding Height: OWNER/LESSEE: Name 60feLD zip Z"(-C6 CONTRACTO, Name: D se Com y: OS Addres City: TL Zip Code: Phone No E-Mail �-r C Sta or County 7 Cf OI`,',LC, A dr ss. l 32,z % /'C City. Or'� � �f"6'e State: Zip Code 4�- 9 . �Z Fax: 111,4/Z2—, Phone No. 77Z 9/2- SQrr,2 E- �Ik /uJ _ State: 7 M a i IAZ D Fill In fee simple Title Holder on next page (if different from the Owner listed above) /� ���G Cis CCd /OyL,R icense_ If value of construction is 2500 or more, a RECORDED Notice of Commencement is repuirel. If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is requir`_:IF,' SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: _ Not Applicable Name: Address: City: State: Zip: Phone MORTGAGE COMPANY: Name: Address: City: Zip: Not Applicable State: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: Address: City: Zip: Phone: BONDING COMPANY: Name: Address: City: Zip: __Not Applicable 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 pei mit 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 ny 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 concurred y review: room additions, accessory structures, swimming pools, fences, walls, signs, screen rooms and accessoryses to another nor -residential use WARNING TO OWNER: Your failure to Record a Notice of Commencement ay result in paying twice for improvements to your property. A Notice of Commencement must b recorded in this public records of St. Lucie County and posted on the jobsite before the first inspection. If ou intend to obtain financing, consult with lender or nn attornev before commencing work or recording vo r Notice of Commencement. - ©Z'Zo 0 Signature of Co ra or -or -Owner Builder as applicable STATE OF FLORIDA COUNTY OFF Sworn to (or affir ) and subscribed before me of Physical Presence or Online Notarization this Laday of t 20by Name of person making statement. Personally Known OR Produ d Identification M4RIA D. GOM.EZ Pubstate c° = 3r ca Type of Identificat' , ,"; Co!,issi , ;; GG 297951 Carr m. _xoires Feb 4, 2[ 23 ti 9onCe tlua,:g hatiora! rotary Assn. (Signatur Florida) Commission No. Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVI W REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev 10/12/21