HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number; .00
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�)711 L CflL RECEIVED
A J I M;. L MAR 2 1
Building Permit Application
81
Planning and Development Services per l�ty
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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: C6
-
:PRQPOSED;,fMPROVEMENT,LOCATION:
Address: 615 BERGER ROAD FORT PIERCE FL
Property Tax ID#:2309-122-0000-000-9 Lot No.
Site Plan Name: 615 BERGER ROAD Block No.
Project Name: BARNS FUENTES PROPERTY
DETAILED DESCRIPTION Q. F 1NORK; , . - -
DEOLITION OF THREE POLE BARNS
New Electrical Meter NSA Second Electrical Meter NSA (Affidavit required)
F INFORMATION
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 _Roof Pitch
Total Sq. Ft of Construction: 2,376 Sq. Ft.of First Floor: 2,376
Cost of Construction:$ 4,500.00 Utilities: _Sewer _Septic Building Height:
GINNER/LESSEE' . CONTRACTOR:
Name JUAN PABLO FUENTES Name: owner builder
Address: 615 BERGER ROAD Company:
City: FORT PIERCE State: FL Address:
Zip Code: Fax: City: State:
Phone No. 954-818-5473 E- Zip Code: Fax:
Mail: juan.fuentes33@yahoo.com Phone No
Fill in fee simple Title Holder on next page(if different E-Mail
from the 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.
SUPPLEMENTAL-CONSTRUCTION LIEN LAU1f:1NFORIVIATION
DESIGNER/ENGINEER: X Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable BONDING COMPANY: X 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 attorney before commencing work or recording your Notice of Commencement.
;Zgn�at�u_reof Contractor-or-Owner Builder as applicable
STATE OF FLORIDA� ����
COUNTY OF '
Sworn to(or affirmed)and subscribed before-In a`of Physical Presence or Online Notarization
this day of 20Z &
Name of person making statement.
Personally Known OR Produced Identification
Type of entification Produced /1\11
( nature of Notary Public- a e Florda)
HEATHER BURFORD
1PR �B-i
Commission No. Seal _ Notary Public-State of Florida
( ) Commission#HH 216910
My Commission Expires
February 06, 2026
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