HomeMy WebLinkAboutJason PermitAlIAPPLICABLE INFO MUST BE COMPTETED FOR APPLICATION TO BE D
Date: 03107/22 Perm Number:
Building Permit plication
Plonning and Development Services
Building ond Code Regulation Division
23A0 Virginio Avenue, Fort Pierce FL 34982
Commercial Residential
Phone: (7721462-1553 Fax: i.772lr462-7578 CBDG Fundi
PERM IT APPLICATION FOR:
PROPOSED I M PROVEMENT LOCATION :
Address:
X
S:1" l;ctgrc
Property Tax lD #:
Site Plan Name:
Proiect Name:
New Electrical Meter Second Electrical Meter
Additional work to be performed under this permit - check all that a
Lot No
Block No.
(Affidavit
X Mechanical _ Gas Tank
_ Electric _ Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $
_ Gas Piping
_ Sprinklers
Shu . Windows/Doors
-
Pond
_ Roof _ Pitch
Height:
rator
Sq. Ft. of Floor:
Utilities:
lf value of construction is 2500 or more, a RECORDED Notice of is required.
DETAILED DESCRIPTION OF WORK:
CONSTRUCTION I N FORMATION :
OWNER/LESSEE:
Campbell Cooline LLC
34952 Fax:
772-323-1567
cAc1820830
Name: Gerry Armstrong
Zip Code: 34952 Fax:
Phone No.
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
lf value of HAVC is 57,500 or more, a RECORDED Notice of Commencement required.
Name:
Address:
Phone
State or
owNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain
I certify that no work or installation has commenced prior to the issuance of a
St. Lucie Countv makes no reoresentation that is erantins a Dermit will authori
which conflicts with anv aoolicable Homeownershssocia-tioh rules. bvlaws or i
structure. Please consult with your Homeowners Association and feview your
ln consideration of the granting of this requested permit, I do hereby agree
in accordance with the approved plans, the Florida Building Codes and St. Lucie
The following building permit applications are exempt from undergoing a full
accessory structures, swimming pools, fences, walls, signs, screen rooms and
WARNING TO OWNER: Your failure to Record a Notice of
improvements to your property. A Notice of Commencement
and posted on the jobsite before the first i
before commencing work or
permit to do the work and installation as indicated.
it.
he oermit holder to build the subiect structure
covenants that mav restrict or o16hibit such
d for any restrictioris which may apply.
I will, in all respects, perform the work
ounty Amendments.
rrency review: room additions,
uses to another non-residential use
ft may result in paying twice for
t be recorded in the public records of St.
lf you intend to obtain financing, consult
Notice of Commencement.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMA
EER: _ Not Applica E COMPANY: _ Not Applicable
Phone:
FEE SIMPLE TITLE HOTDER: _ Not Applicable
Name:
COMPANY: _Not Applicable
re of Contractor - or - Owner Builder as applicable
STATE OF FLORIDAT / ,
COUNW OF Y /I/LU,
Sworrr,to (or affirmed) and subszribed before me of
*is { aav ot /TLi*lLL------- ,zo4ov
Name of person making
Online Notarization
SUPERVISOR
REVIEW
SEA TURTLE
REVIEW
REVIEWS
RECEIVED
Name:
,STATE OF FLORIDA
Comn# GG262780