HomeMy WebLinkAboutBUILDING PERMIT APPLICATION1
All APPLICABLE INFOMUSTBE COMPLETED FOR APPLICATION TO BE ACCEPTED r
Date �1 4J \ Permit Number. \A61_05311'
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CV) L W O Fat
ECEIVED
Building Permit Appli N 4 zoj9
Planning and Development5ervices I ST.6erleGounky,rcrmltting
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
IT TYPE: 5
'PROPOSED INPROVEMENT LOCATION: �{ Louie
my I
Address:
1385 COPENHAVER RD St (.OUnty
Property Tax ID #: 2313-214-0006-000-6
Site Plan Name: 13 35 39 FROM NE COR OF NW 1/4 RUN S 1213 FT, TH W 40 FT TO POB,
Project Name: 242.41 FT, TH S 132 FT, TH E 242.38 FT, TH N 132 FT TO POB
DETAILED DESCRIPTION OF WORK:
NEW CBS 3/2/2
CONSTRUCTION INFORMATION:
Lot No.
Block No.
Additipnal work to be performed under this permit —check all that apply:
Mechanical GGasTank _Gas Piping Shutters /Windows/Doors
Electric ✓Plumbing —Sprinklers _Generator ✓hoof 6/12 Pitch
Total Sq. Ft of Construction. 2038 Sq. Ft. of First Floor: 2038
Cost of Construction: $ 1 Ift. O00 Utilities: Sewer Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Rita & Richard King
Name:Philip Petruzelli
Address: PO Box 741
Company* Port Saint Lucie Properties, INC
City: Fort Pierce FL State: _
Zip Code: 34954 Fax:
Phone No. eno- A i U — 61,5u &
Address:2401 SW Monterrey Lane
City: Port St Lucie State: FL
Zip Code: 34953 Fax:
Phone No772-249-0086
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail pslpropl224@gmail.com Psipropl@gmaii.com
State or County License CBC1257923
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SU PPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:PawwelmlNc
MORTGAGE COMPANY: _
Name: / )
Not Applicable
Address:1984 sw enmxue Blvd
Address: 0 CO 4&1
City: PSL State: FL
Zip:34984 PhoneTn-7Bs-9aee
City: L
Zip: ?y453 Phone: '1-)dL—
Sae:
D — YZ t
FEE SIMPLE TITLEHOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not
Name:
Applicable
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.
no
:e the permit holder to build the subject structure
or and covenants that may restrict or prohibit such
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 your paying twice for
Improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
CL 1-� Qom U4- "iez,
Signature of Owner/ Lessee/Cot ctor as Agent for Owner Signature of Contractor/Licen'96 Rokffir
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF Saint Lucie COUNTY OFsaun Lucie
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this t7th day of Januan✓ 20_ by this 17th day of January 20_ by
Philip Petndzelli I Philip Petruzelli
Name of person making statement. I Name of person making statement.
Personally Known X OR Produced Identification
Type,of Identification
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Commission No. 1 S �mission # FF 949733
2 -V xptres January 12, 2020
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Type of Identification
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January12, 2020
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