HomeMy WebLinkAboutBuilding Permit Application - FinkelAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3L7/Za Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 CBDG Funding
PERMIT APPLICATION FOR: SVIC.EE0 200M OVEi2 PAISEO Wo,6,p DECK
Address: J.�`d7 61IIZWINOs WAY., FT Pl QC E FL 3 L 9 4 9
Property Tax ID #: J LJ1 O -- 5 O 2- O CI J' 9. O 0 O- U Lot No.e9
Site Plan Name: OcF.&b1 Resc-g-Ti, C pot, Block No.
Project Name:
134ILD Wcon 0904- W/ CoMPaS%TG OEC1t1NCr. AND INUILb SCLEe-t-A ftooM
w�T1A 3�POLY -IMSusA-TEP 1E*%AF ImXwiM6 po-%&
New Electrical Meter
Second Electrical Meter
Additional work to be performed under this permit- check all that apply:
(Affidavit required)
_,Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors _ Pond
_ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 2 1.600
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic Building Height:
Name (129 4 J MfLOdE19 F/A11LEL
Address: 5307 FouILWIMOS WAY
City: FT. PIFICLE State: Fes„
Zip Code: 3 4 9 4 9 Fax:
Phone No. $ 6 3 - S 3 2- SO 12 E-
MaiL
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
Name: C (*ieLES J. OE KkER-
Company: EA ST COAST .4 Ltt M i Nu M
Address: 1113 C OW A2A S R P
City: PT FiEKtE —state: FL
Zip Code: 3V 187- Fax: 772- 41 74103
Phone No 772. 4/L+,4- 7 6 o O
E-Mail ecap (n c 4P b"On #%" (. c "A
State or County License Lt PC
�IIf value of construction is 2500 or more, a RECORDED Notice of Commencement is required. I
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
Wr
DESIGNER/ENGINEER: _ Not Applicable
y n -
OWN
MORTGAGE COMPANY: Not Applicable
Name: r-Lom PA ALvM)NUM ENG/NLcrE+C04d;
Name:
Address: 560 MA1t(NE:R. CT..
A 240
Address:
City: ?A M P A
State: FL
City:
State:
Zip: 33 6o 9 Phone kl3- 374-
2 y a 3
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
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 a1tornev before commencing work or recording vour Notice of Commencement.
Signature of ntractor - or - Owner Builder as applicable
STATE OF FLORIDA
COUNTY OF S? LNc t E
Sworn to (or affirmed) and subscribed before me of Physical Presence or Online Notarization
this Z day of M 4 Xu—t , 202Z by
Name of person making statement.
'-
Personally Known OR Produced Identification
Type of Identification
Produced
(Signature of Notary Public- State of Florida) RUTH HOLMAN
NOTARY PUBLIC
Commission No. 0CY7344' c (Seal) —STATE OFFLORIDA
y = Comm* GG973640
ip E A Expires 3/26/2024
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DATE
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COMPLETED
Rev 10/12/21