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HomeMy WebLinkAboutBuilding permit application- MaciasAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date! _. _.13 2Z Permit Number: r L� e' ° w A` Building Permit Application Planning and Development Services Building and Code Regulation Division Commercial Residential 2300 Virginia Avenue, Fort Pierce FL 34952 Phone: (772) 462-1553 Fax: (772) 462-1578 C3DG Funding PERMIT APPLICATION FOR: 1�1 i'e -�Xxrn t`I LA q'eS ICLeyw-e, PROPOSED IMPROVEMENT LOCATION: Address: _n3 D c o"Y lstbr\ ?IWd R VICne V--A 34g51 PropertyTax lD #: � 2-1- Aw W01- to Lot No. Site Plan Name: tAcLuds Block No. Project Name: DETAILED DESCRIPTION OF WORK: Coves vuc. o.. V>eaV-00Yn 3 Y)cx.�-^ 3 Cair ICL New Electrical Meter X Second Electrical Meter (Affidavit required) CONSTRUCTION INFORMATION: Additional work to be performed under this permit —check all that apply: iC Mechanical _ Gas Tank Gas Piping _ Shutters X Windows/Doors Pond X Electric X Plumbing _ Sprinklers _ Generator X Roof Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction: $ `]a(0 (GO"). 00 Utilities: _ Sewer X Septic Building Height: 22 OWNER/LESSEE: CONTRACTOR: Name &LVA VfA,iarv-a A-k6Cvx& Name: TGlMC5 Tf-JeAY3.-V Address: 2*I0"1 S . 16t%A S-' YeCA- City: kyiz-k 9titem State: Zip Code: 3q6e2. Fax: Phone No. E- Company: TC kmy Cbns�ruc l LbYN vy1G Address. V]00 COPtnr)a\/eV „12d _ City: Ft plcrc�C_ State: Zip Code: 3Koi Li S Fax: Mail: Phone No -iZa a©I gB33 Fill in fee simple Title Molder on next page (if different E-Mail tY-eJ-tAYV JV GunS �YLA_c K,d� yahoc State or County License ZE)b o o -Co from the Owner listed above) If value of construction is 2500 or more, a RECORDED Notice of Commencement is required. If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable Name: "ckY %t L-ktio r Name: Address: 1-?-SLA (ot^ Pv,�, '5C Address: City: _eyU _f�e'(Xckj State: L- City: Zip: 3'��it,2._Phone 111- 3)-1- 466o Zip: Phone: FEE SIMPLE TITLE HOLDER: Name: Address: City: - Zip: Phone: — Not Applicable BONDING COMPANY: Name: Address: City: Zip: Phone: State: Not Applicable 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 an posted on the jobsite before the first inspection. If you intend to obtain financing, consult with lender nr �attnrnpv hpfnrp rommpnrino uinrlr nr rprnrrlinu vnsir Writirn of ("nrnmonromont k N Signat Vof Contract - or - Owner Builder as applicable STATE OF FLORIDA COUNTY of A W'Lcw Sworn t (or affir ed) and subscribed before me of A Physical Presence or Online Notarization this day ofUV� �} 2022 by �Sa+mes —v ekmy Name of person making statement. Personally Known iC OR Produced Identification Type of identification Produced 6PAW&dc�. e2,a (Signature of Notary Public- State of Florida) lifto'901 Y Commission No. (Seal) z : AMANDABETHMAGGART Commission # F#1 OW93 Exoms dun810, 2024 •"y'°�rfi;p�': Bantledihui'royFainEn800.385.7ia19 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED i\CV 1V/iL/Ll