Loading...
HomeMy WebLinkAboutCORRECTED Building Permit Application All APPLICA LE 1 FO MUST BE.COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: Z2-0Z 0 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: a e ° Address: (811 Hozelwyoo br. F°oet Pleree.) Property Tax ID#: Z,y'S�j`SO-L- O 03 Z` o0fl/O Lot No. 3 Z, Site Plan Name: Block No. Project Name: Ro-h �1»it t Cov%S+rgAC+ioh o-� new C6$ gaca9e_, g-t+c -e.d a-,d enc(as e ex�s�►►w q ge 4hd Comer + 4a ot"I(i roves, New Electrical Meter Second Electrical Meter (Affidavit required) - ���O�US�FtUt Additional work to be performed under this permit-check all that apply: X Mechanical _Gas Tank _Gas Piping _Shutters X Windows/Doors _Pond X Electric _Plumbing _Sprinklers _Generator *17--gy a_r�te_t sRoof Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction:$ '60,000.00 Utilities: —Sewer V Septic Building Height: r- -^- �gx l3q "` -s� .ems"�'#. +''�$� ,'a '' - ! N EKES �E� � �FS NT x�rt. x c�'sa ' �5 may. .t v# s€ Name actetS.� t1V. UP'i A , TZot°L..- Name: , E't,,t l G. l.avto IA ,L Address: 1 c%11 6 WL woo Leyto(4 Cu51 awn �oM�S LLC- City: P:or ierce State:FL Address: qoo k",t& % t•, Zip Code: Fax: City: Poet Pierce State: F L Phone No. -1157 z10- (11g E- Zip Code: 3yg%, Fax:-"1-11-BSZ-40115 Mail: lmk-k-d ce- 2 @ 4i`"a C Coov, Phone No ^1')X-1a4- -L59 9 Fill in fee simple Title Holder on next page (if different E-Mail Q(cgvio Laa @ AOL . Coen 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. r _ DESIGNER/ENGIN ER: _ ��ot Applicable MORTGAGE COMPANY: Not Applicable i ' o`tJrC Name: �L� Name:a e: Address: 426 7,20Utz - Address: City: 7-7, fiPvG4:7_ State: City: State- Zip: ' © Phone 77Z q-bb-27s-/ Zip: Phone: FEE SIMPLE TITLE HOLDER: X 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. ws will authorize the permit holder.to build the subject structure which conflicts with any.applicable Homeowners eowns Association rules, byla or and covenants that may restrict or prohibit such structure. Please consu t 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,fencesi 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;Count and posted ejobsite.before.the-first inspection, If you intend to.obtain financing,:consult with I r r n atto efo •commencin work�or reco'din o'ur Notice of Commencement. I�e�e� Signature of C ntractor-or-Owner Builder as applicable STATE OF FLORIDA COUNTY OF �4 LI,IC l Q Sworn to(or affirmed) nd subscribed before me of Physical Presence or Online Notarization . this d5 day of tv kayJ1 20,)�- by Lhi� 1 ..ajiolc, Name of person making statement. Personally Known V/OR Produced Identification Type of Identification Produced (Signat of Notary Public-State of Florida) �Pp'�P�s� Myrtle Norris nn c� ?° �° Notary Public,State of Florida Commission No.0 C-i 3) l� -:'.(Sea I) ,; 04 My Commission Expires 04/21�2023 Commission.No.GG 326189 . 'REVIEWS JRONT ZONING-'- SUPERVISOR PLANS VEGETATION `.SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW 'REVIEW DATE RECEIVED DATE COMPLETED Rev 0 2 2