HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO RF ACCEPTED
Date:
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Permit Number: , 0 30
Kr RECEIVED
Building Permit Application JAN 18 2022
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
Address: I
Commercial
CBDG Funding
Pt, .idle aunty
Residential 6F�il4fiig
Property Tax ID#: (—ozz). S Lot No. —
Site Plan Name: Block No. b
Project Name:
En Bedroom
Bath
Garage Ca
New Electrical Meter Second Electrical Meter (Affidavit required)
Additional work to be performed under this permit -check all that apply:
XMechanical _ Gas Tank _ Gas Piping Shutters Windows/Doors _ Pond
,XElectric _X Plumbing �j Sprinklers _ Generator _pRoof Pitch
Total Sq. Ft of Construction: b Sq. Ft. of First Floor: I 4
Cost of Construction: $ / 12A 44 Utilities: _ Sewer _(Septic Building Height:
r.,
S-
Name Focus Homes. LLC of Florida
Name: Marls Richard
Address: -16186 W Hibis .us Blvd
Company:Focus Homes, LLC of Florida
city: Melbourne State: FL
Zip Code: 32901 Fax:
Phone No.'371-725-5645X3703 E-
Address: 1686 W. Hibiscus Blvd
city: Melbourne State: FL
Zip Code: 39901 Fax:
Phone No 321-725-5645
Mail Weitzr@maronda com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mai1AA1eit7r C Kfiarnnda cnm
State or County License CBC1255394
— -- U16LIu111� AwluU Ur rnure, a ncLuKucu rvorice or commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
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MORTGAGE COMPANY:
� Not Applicable
Name: FDS Engineering and Associates
Name:
Address: 258 Southhall Lane Suite 200
Address:
city: Maitland State: R
City:
State:
Zip: 39751 Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: X 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 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 attornev before commencine work or recordinL7 vour Notice of CnmmPncPmPnt
Signature of Owner/ Lessee/Contractor as Agent for Owner "" REBECCAWEITZ
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STATE OF FLORIDA my COMMISSION #HH080345
March16,2025
COUNTY OF BreVard ;: o EXPIRES:
'JFcF F4i: •- Bonded Thru Notary Public Underwriters
Sworn to (or affi_r d) and subscribed before me of Physical resence or Online Notarization
this f 1 day
of
Name of person mak state
Known OR Produced Identification
of Identification ProducedISSIWW00
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[=-- BIONn�41Pepu0s"Personally
AW ":039321
(Signature of Notary Public- State of Florida)
Commission No. (Seal)
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