HomeMy WebLinkAboutapplicationAll APPLICABLE INFO MUST BE COMPLETED.Fi
Date:
a
PWnniq§ dnd DevelopmentServices
Suiidingand, Code.Regulation Division
23001Virginia Avenue, fort. Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 4624578
Address;
Property TaX.ID
Site•Plan Namee.' _
Project Name-: C`reekslde
installation
APPLICATION TO BE ACCEPTED .i v
Permit Number. d 3•
guiiding, Pe
Commercial W-
saa-0111-aoo!=
water
0 5 2020
Sr. Lucie County, Permitting
Lot No.. .
Block No.
Additional "worktobeperformed tinder this permit =check,all that apply; p
.Mechanical Gas Tank ^Gas Piping _Shutters ! _,Windows/Doors
_ Electric _ Plumbing _Sprinklers _ GeneratoF _ Roof Pitch
Total Sq.. Ft of Constructions Sq Ft. of First,Floor: V
Cost of.Construct ion. $6425_OD _ Utilities: _Sewer _Septic 'BuildingHeight:
i
�CJU1F-'-R�:,Et�St) .��a� "-�'�a�, �� �.�
�CCJ�IT fi� g'�i ��s' 1 �•� "ems« � � � 3
Name4lRHorton lnc..- - -
Name:Christ na Srate # _
Address:1430.Cuiver Or NE.
Company,-Peay's Electric 11, Inc M
City: Palm Bay, State:_
Zip Code:32907 Fax:$66-893-4891
PhoneN'021-733-7972
Address:7790;InduibialRd
City: West Melbourne l State:Fl-
Zip Code: 32904 F_ax:32i-725-5273
Phone Ne 321-768-0814 .
E-Mail; slpedretd@drtiorton.com
Fill-in fee simple Title. Holder on next page,( itclifferent
from the Owner listed above),
E-Mailonshna@breyardelectdc ans.com
State or County Llcense.EC13009389
i
If value ofconstn tion'K$2500`.ormore, aRECORDED -NoticeofCommencem_entisrequired.
.
If value of HVAC ii$7,500 or more„a RECORDED Notice of Commencement, is required. )
OWNER/ CONTRACTOR AFiI:ibv T APpticatior is hereiiy made to obtain aperhilt toy'do the work and-insfall'atfon as indicated.
l certify that -no work or installation has commenced: prior to the issuance ofa permit,
SC Lucie Counttyy makes no representation that is grantinga ppermit will authorize the�ppermit holder to build the subjectstructure
in.co Act. with any Home ownersAssociatiop bylaws that
which is applicable rules, or an covenants may r6strictor Prohibit such
struc'ute.'PN4se consult with your Home Owners Association and review.your deed(for any restrictions which may apply:
In consideration oftlie granting of this requested pert8lt I do hereby agree that I will, in all respects, perform the work
In accordance with theapproved;plans the Florida BuitdingCodes and 5t. Lucie County Ami ndments,
The followingbuilding „
g permit apPiicat(ons ate.exempt from'undergoing afull copcurrency review: roomadditions;:
accessory structures,. swimming poofs fences, walls, signs; screen rooms and :accessory useIs to another non-residential use
`-:WARNING `TO OWNEIP, YOpR FAILURE TO RECORD *-'NOTICE OF:COMMENCEMENY MAY RESULT W YOUR. PAYING
TMCE FOR IMPROVEMENTS TO 1fOUR'PROPERTY. A NOTICE OF COMMENCEMENT MUST BE'RECORDEO AND
POSTED Old 0B SI�E BEFORE YHE FIRSC'INSPECYIOtd IF YOU. IiVIEND T,O OSTAQIT FIAIANC�tG, CONSUL
lYifH YO ,L OR AN ATTORRIEY BEFUi'E RECARDINC:YOUd4 NOT1tE OF COMMENCEMENT:'
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DESIGNER/EN.GINEERz
Name:
_NotA kc2ble:
: NTORTGAGECClMPANY:
;Name:
NotApplica
Address:.._.'
Address: I
Zip,Zip:
State:
Lity:
Phone:.
State:
G "
FEESIMPL'ETIT � OLpER;
Name:
NoYApplicable
BONDING COMP
Name:
i .NotApplicabie
R '
AddfeSs
Address:..
City:
;City:.
i
Zi
Rhone:
I
Stgna re of owner/ Lessee/Contractor as Agent for owner
Signature of Conttaitor'/Ucense Holdr -
STATE OFF CORlDA
STATE OF FLORID
iCOUNTYOF•
COUNTY OF �iIGUC�,r�1
The forgoing mstrumentwas acknowledged before rime
The forgoing instrufnent was acknowledged before me
thms�dayof mph ,20�¢,by
,
this�d`a(o€��Yit<}t�__-_ V,20Stiby
:Name of person making4ateme t.'
Name of persormakingsfa2ement: l
Personelly.Known JG OR Produced Identification
Personally Known -_ - OR Produced Identifcatlon
Type of Identification
7ype:ofldentificatiotr
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