HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLEINFOMUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED /� /
Date: / 0 -a?. � q-*-Ar.1 i u Permit Number: 1 %(� % � " 0 V 7" /
BY
St. Lucie Cigo y
Building Permit
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial
PERMIT TYPE:
2019
Permittire ._,.
Address: 6780 Dickinson TER Port St Lucie FL 34952
Property Tax ID ti: 3415-706-0047-000-1 Lot No, rJ
Site Plan Name: Block No. 3
Project Name:
[ DETAILED DESCRIPTION OF WORK: I
aaw!
INFORMATION:
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:
Cost of Construction: $
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name_ Maria Santangelo
Name: PioNC'ez Se .J Co. :rNe ]
Address: 6780 Dickinson TER
Company:-_�11CkAIL �r.MCWfitRiU
City:ptlRTRTT.TTCTF State:)
Zip Code: 34952 Fax:
Phone No.
Address: l6SZ SO BiVrmM S'G
City: PorGr St. Luute State. -EL -
Zip Code: Biffl t1 Fax: _C?r 3�to-46zb
Phone No tFrrzz� 340 -934
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
is.._a..-----------' - -
E-Mail Pio n Ea cer2� r, Rfl /tit S/1 frrn
State or County License Ljr?63
.. __.__ _. __.._.. __,..... .. Y...,.,., — ,,,w, c, a nLuwnwLu lmome ur wmmencement is requirea.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement Is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY' Not Applicable
Name: Ve, KioA -t, Assm,
_
Name:
Address: P.O.1304 10039
Address:
City: Art A State: FL
City: State:_
Zip:-m;&'?cl Phone -9 8
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ 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 thatis granting a permit will authorize the permit holder to build the subject structure
which is in conflict withany applicable Home Owners Association bylaws
rules, 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 l WIII, in all.respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The fallowing 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 FAELURE TO RECORD A NOTICE OF COMM EMENT MAY ULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF MFNCEME ST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF INTEND T AIN FINANCING, CONSULT
WiTH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING Y OTICE OF ENCEINENT."-
Orrl
Signifiture of 0w6er7 Lessee/Can ctor as Agent for Owner Si ature of Conk ctar icense Holder
E OF FLORIDA STATE OF FLORIDA^^ll
NTY OF ST T.ucTF COUNTY OF fit. Lckt A
E11 ing instruMenitwas acknowledge pefore me The forgoing ins trurpgnt -was acknowledged before me
t�i day of 20�`1 by
•)O� this�ay of ?PlJi ,nn cb /204 by
S aria Santan elo ; p r ( T li/� rlA
e of person making statement.
Name of person making statement. '
Known OR Produced
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onally Identification XX
Personally Known Produced Identification .
of Identification
Type of Identification
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