HomeMy WebLinkAboutBUILDING PERMIT APPLICATION. ,,
All APPLICABLE 1 FO UST BE COMPLETED FOR APPLICATION TO BE ACCEPTED p �/
Date: S �.� SCANNED Permit Number: I Q �] ' 0 I
r�, :_ BY
St. Lucie County RECEIVED
Building Permit
Planning and Development Services
Building and Code Regulation Division - ST. Lucie County, Permittin
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x
PERMIT TYPE:
PROPOSED IMPROVEMENT LOCATION: •,
ROAD
Property Tax ID #:
Site Plan Name:
Project Name:
CONSTRUCTION INFORMATIONS
6t No.
Block No.
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank ^ Gas Piping _ Shutters _ Windows/Doors
_ Electric _ Plumbing —Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: t
Cost of Construction: $ 14,500.00
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
.OWNER/LESSEE: `"
CONTRACTOR:
NameHURTADO
Name:MARIO RUSSO
Address:2730 SNEAD ROAD
Company- MARIO RUSSO ALUMINUM INC
City: FORT PIERCE State: _
Zip Code: Fax:
Phone No. -772 .2011 9 3 V
Address:291 SW DUVAL AVE
City: PORT ST. LUCIE State: FL
Zip Code: 34983 Fax:
Phone N0772-370-8671
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail russocustomflooring@yahoo.com
State or County License30367
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
if value of HVAC is $7S00 or more, a RECORDED Notice of Commencement is required.
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'SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: FLORIDA ALUMINUM ENGINEERING INC
MORTGAGE COMPANY: _ Not Applicable
Name:
Add ress: WO MARINER STSUITE 110
Address:
City: TAWA State: FL
Zip: 331309 Phone81�7�403
City: State:
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
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 is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners 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 YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SIITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR A"TTORNBT BEFORE RECORDING YOUR NOT= OF COMWmcEMENT.^
Signature of Owner/ Less a/r ntre_vor-as^A`gent-for-Ow�wner
ignature of Contractor/Ucense Holder
STATE OF FLORIDA
STATE OF FLORID
COUNTY OF 4C!/V i�/Li
COUNTY OF
The for oing instru ent was acknowledged efore me
The for g instrument was acknowledged before me
this ayof 20 by
this dayof20"by
d7'1�rn n -s.S O
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Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification
Personally Know OR Produced Identification
Type of It�e tlfii f n
Produced
Type of Iden tit ation e,
Produced ..4 t
° 1 ,
(Signature of Nota ublic- State of Florida) V V
(Signature of Not
�gvei� pUDREY B. UMPHREY
. •'•,'-
"s
Commission i`�• "'•- AWREYB.H �iEY
Commission No.
`g 3W617
:. »= WCOMMIS�re 023
:.; MISSION91415 0617
;: :;' EXPIRES: March6,2023
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DATE
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19
DATE
COMPLETED
Rev.2///19