HomeMy WebLinkAbout490 Airoso.pdfAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3-r7 7-7-2
Permit Number:
Building Permit application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Dorf Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
Commercial
CBDG Funding
PROPOSED
� IMPROVEMENT LOCATION:
i
Address: ! O SW Alro 5o BV(J �OI'
Property Tax ID#: 3V1 r-5g5•6015.000. 7
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
5D ci on e ec rye- WA
Like - or Like,
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Residential
Lucie F` 3q48 -5
Additional work to be performed under this permit -check all that apply:
_Mechanical _ Gas Tank — Gas Piping _ Shutters
Electric +Plumbing _ Sprinklers — Generator
Total Sq. Ft of Construction:
Cast of Construction: $ a �;0, o D
Lot No.
Block No.
r
(Affidavit required)
— Windows/Doors Pond
Sq. Ft. of First Floor:
Roof Pitch
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
Name D Ifr A G KO
Address: J V1% j 0 SQ
City:.. F S L _ State: BI-
Zip Code: `.� q 9 F3 Fax:
Phone No. 7 7-?-
E-
Maii:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
CONTRACTOR:
Name: r e d
Company: Dorf r� GICi e U
Address: eri G t
City: S Ll�ele State: FL
Zip Code: 15-2. Fax:
Phone No 77a V68-65a q
E-Mail Yf UCiL' u t R R !`{Le l CDfi t
State or County License e FC L S 0d 5
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
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City. State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
City:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
Zip: Phone:
Zip: Phone:
AlAIKI CD! / Aw1TnA dl%r% A V'TTIIT_
ko vV i.i-ry a+Lln A RM4 Awn Arri Livl 1 : 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 attorney before commencing work or recording our Notice of Commencement.
Signat r f er/ ntractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF 5: Lgicle
Sworn to (or affirmed) and subscribed before me of Physical Presence or Online Notarization
this aday offC 20 Z Z by
Name of pfrson making statement.
Personally Known V OR Produced Identification
Type of Identification Produced
(Signature of Notary Pt�ic- State of Florida)
Commission No.663 4 W (Seal)
REVIEWS I FRONT ZONING
COUNTER REVIEW
DATE
RECEIVED
DATE
COMPLETED
Goal IGG36-0658
BOilded Thtu Aamn Notary
SUPERVISOR I PLANS I VEGETATION I SEATURT€WLE I MR V ROVE
REVIEW REVIEW REVIEW