HomeMy WebLinkAboutpermit 2305 river hammock lnAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
S i Lac tL
I- L fC 'LZ; U L to --
Building Permit Application
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:
Commercial Residential A
t' "wrwru nvlrKUVtMtNT LOCATION:
Address: I V! r H Q mmoc'x Lu
Property Tax ID#:'_?oL.lbq Colt - IOO 1
Site Plan Name:
Project Name:
[ DETAILED DESCRIPTION OF WORK:
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Lot No._�
Block No.
Additional work to be performed under this permit- check all that apply:
—Mechanical _ Gas Tank _ Gas Piping Shutters
— _Windows/Doors _Pond
_ Electric — Plumbing _ Sprinklers Generator
— .X Roof &I pitch
Total Sq. Ft of Construction: .SAC-7
5q. Ft. of First Floor -
Cost Cost of Construction: $ C%, S UO Utilities: _ Sewer _ Septic Building Height:
FOWNERAESSEE: — —7
Name
M VTO FaTim
r- - - Company: lreq�
City: J a Y }i P r lam, State: Address:�j
Zip Code: 34q-lC111 Fax: City. �}
Phone No. E-Mail: Zip Code: 7Ci C
.Phone No �7.a-
FL()'M
fee simple Title Holder on next page l if different E-Mai I %C':')
1C OU -I
he Owner listed above)
State or County License.
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.
i11L Stater
Fax:
' C1�7a
4r_e q CA
(,
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l
Name:
_Not Applicable e. ,.
MORTGAGE COMPANY:
_. r ._- -_, tom. &
Address:
Name:
Not Applicable
City:
Address:
I
Zip: Phone
State: Crt
ZipV
State:
Phone:
FEE SIMPLE TITLE HOLDER:
Name:
— Not Applicable BONDING COMPANY:
Address.
Name:
Not Applicable
City:
ZIP:
Address:
City:
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 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 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 jobs(te before the first inspection. If you intend to obtain financing, consult
with lender or an attorney
ttorne before commencing work or recordin our Notice of Commencement.
Signature
as
STATE OF FLORIDA V
COUNTY OF_
Sworn to (or affirmed) and subscribed before me of
`x Physical Prese ce or Online Notarization
this---dayof F1�Chi_ 2020 by
STATE OF FLORID
COUNTY OFF. G(/Ue
Sworn to for affirmed) and subscribed before me of
Physical Presence or Online Notarization
this _e day of RA 2020 by
frame of person making statement.
" wr Vr L
Name of person making statement.
Personally Known x OR Produced Identific
Type of Identification
tion
0ciT�—
Personal) y Known a OR Produced ldentlficati
Produced
o o m
3 3
Type of Identification
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33-2�
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Produced
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Signature of Notary Pub is -State of lorida }
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( gnature of Notary Publi State of Flq� lda)
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Commission N 7U.�l�-- {Seal)
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Commission No. 7 �/�
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