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HomeMy WebLinkAbout6603 Pensacola Rd permitAll APPU LE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 3 Permit Number: 0 V Building Permit Application Planning and Development Services Building and Code Regulation Division Commercial Residential 2300 Virginia Avenue, Fort Pierre Ft 34992 Phone: (772) 462-1553 Fax: (772) 462-1578 CBDG Funding PERMIT APPLICATION FOR:R �C PROPOSED IMPROVEMENT LOCATION: Address: N �Q j A �' "" C S ` Property Tax ID #: ! I Lot No. Site Plan Name: Block No. Project Name: DETAILED DESCRIPTION OF WORK: FL A64';4 ,1 un-o> J SLt1 f } W New Electrical Meter Second Electrical Meter (Affidavit required) [CONSTRUCTION INFORMATION: Additional work to be performed under this permit -check all that apply: Gas Tank —Gas Piping _ Shutters _ Windows/Doors _ Pond _Mechanical _ _ Electric _ Plumbing _ Sprinklers _ Generator Roof - 1 s=— Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction: $ Utilities: _Sewer Septic Building Height: �� d WNERAESSEE: CONTRACTOR: me1 f"IIS5�� )') 11E r Name: i I .Le,dress: Company: lyl`t I Q� �0�0(` �� ��C R (�. 5���5 + Addr " S City: Eo,'�TrC-e, State: ( Zip Code: Fax: City: - H State: EL Phone No. - `�~%' 1 J� E- Zip Code-�� �aoZ Fax: Maili� � Phone No 1 Fill in fee simple Title Holder on a (ifSf uwd E-Mail e State or County license C' from the Owner listed above) If value of construction is 25M or more, a RECORDED Notice of is required• If value of HAVC is $7,5W or more, a RECORDED Notice of is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: Not Applicable Name: _ Name: Address: Address: city' State: City. State: Zip: Phone Zip: Phone. - FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: _Not Applicable Name: name: Address: Address: City: City: Zip: Phone: Tip: 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 represe�nbtion that is nting a permit will authorize the permit holder to build the subject structure which conflicts with amapplicable .cable Homeowners Associa�ion rules, bylaws or and covenants that may restrict or prohibit such structure. Please consult wrath 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 structure, 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 toViry operty. A Notice of Commencement must be recorded in the public records of St. Lucie County a on the ' e before the first inspection. If you intend to obtain financing, consult with len c mencing work or recording our Notice of Commencement. of Owner/ L tractor as Agent for Owner STATE OF FLORIDA ( ��C,� COUNTY OF C;� R Swom to (or affirmed) and subscribed before me of V Physica€ Presence or Online Notarization this = day of 20,.V by Name of person making statement. .. Personally Known OR Produc Ident�catio n Type of Identification Produ CEL= (Signature of Notary Public- State of F oriel ) Commission No. (seal) ADRIANA RASA Wiry NODC • State or Flenca Cmrnnsw 0 GG 44625 t My Cmm. Spires � 1. 2021 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev 5/20/2I