HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE. ACCEPTED.
Dater 11 Permit Number:
(�r�p n 'RECEIVED
° JAN.2 5
2�..
Building Pelrlmit Application'
Z.0
Planning and DeJelopment Services. .... Permit ng my
Building. and Code Regulation Division Commercial Residential* ..
2300 Virginia: Avenue; Fort Pierce FL 34982 ;
Phone: (772). 462-i553 Fax: (772) 462.-1578 as
PER APPLICATION FOR:
.120;LN:F OF VINYL -SEAWALL,'::.:`....
PROPOS. ED..IMPRC VEM ENT:,LOCATib N
Address::308 SE CAMINO CT. PORT ST LUCI,E,;FL. 34952
Property Tax ID #...3419-515-0217-000-0. :. ..; Lot No:.28
.. .. .
Site Plan:Name: PALMISANO RESD. - Block No. 28
.Project Name;
PALMISANO. RESD.
"bETAILED DESCRIPTION 0F.'V1lORK', "
INSTALL:120 LNF OF VINYL: SEAWALL
New Electrical Meter' Secorid:Electrical Meter
CONSTRUCTION INFORMATION ,
Additional work to be performed under this permit — check:allthat apply:
Mechanical Gas Tank _Gas Piping _Shutters: _Windows/Doors _Pond
_Electric _Plumbing _Sprinklers Generator _Roof : ' :Pitch
Total Sq: Ft of Construction: Sq. Ft. of First;Floor:
Cost of Construction:.$ Utilities; . _Sewer _ Septic, . „ Building Height:
56,000;00
01NN:ER/L=ESSEE:
CONTRACTOR:
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.
SUPPLEIVIENTAL'CONSTRUCTION LI:EN,LAWINFORMATION
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: ,_ Not Applicable
Name:
Address:
City: State:
Zip: Phone
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: Not Applicable
Name:
Address:
Address:
City:
Zip: Phone:
City:
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 is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners 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 Tlr
OWNER: Your failure to Record a Notice of Commencement may result in paying twice for
improveents to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie Cypty and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with Idyl or an attornev before commencing work or recording vour Notic"f Commencement.
11
Signature o�&n Le ee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORID
COUNTY OF /Vi 4L-fir✓
COUNTY OF 6T�
Sworn tn.(or affirmed) and subscribed before me of
Sworn o (or affirmed) and subscribed before me of
hysical Presence or Online Notarization
Physical Presence or Online Notarization
e day of _T�wc�. 2020Zby
this � day of 7�4e%u - , 202aby 8°
o
c>
e of erson niiaking statement.
Name of person making statement.
�
sonally Known OR Produced Identification L_
Personally Known OR Produced Identification`
w�
a of Identification
Type of Identification ;
C
a
duceedd
Produced _
nature of Notary P'u61ic-State-of Florida)
(Signature of Notary Public- State of Florida )
�•
mission No.A '0,� %. • (Seal)
Commission No.TT�'`d��L��� (Seal)
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