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All APPLICABLE INFO MUST;BE COMPLETED FOR APPLICATION TO BE ACCEPTED ' U
Date: 12/22/20 • Permit Number
S 5 .. L..L.UC
Planning and Development Services...
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Building Permit Application
Building. and Code Regulation Division Corninercial ,X Residential
2300. Virginia Avenue, Fort.Piercg FL 34982 '
Ph6fiei(772)462-15S3 Fax (772)462-1578
PERMIT APPLICATION FOR:MaSSa. ` South Steel BOUl@ya(d
.00nnnccn=i"nnnonvcnAlcnir r`rar•nrnnu'.�' �' �°' '!( `, '�' ' '"`
D -.Steel Boulevard, Fort Pierce, F
Property TaxID#r1430-321-0001-000-7 Lot.No.
Site Plan,Naore: Massa - South Steel Boulevard Block No.
Project Name: -Massa - SouthSteel. Boulevard � '
of'a
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New Electrical Meter X Second Electrical Meter
t
Additional work to be performed.underthispermit— checkallthatapply:
XMechanical _Gas Tank _Gas Piping
X Electric XPlumliing X Sprinklers
Total Sq. Ft`ofconstruction: 38,000 S
q.
01lUN;ER/LESSEE ... . _. _ „..�...
'CONTRAGT0A'
Td•Be Determ►nad
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Name Massa Family Holding's, LLC
Name: To BE.Determined- i
Address:'222 SW 21st Terrace
Company: I i .
City: Fort Lauderdale State: FL
Zip Code:33312 Fax954=791-8968
Phone No. 954-791-3385
Address: % r
City: I ) State:_
Zip Code:' Faic:.
Phone: No I
E-Mail:. Dannym@ddwelding.com, Martinev@ddweiding.com
Fill in: fee simple Title Holder on next page,(if different
frdm the Ownerlisted ati"ove)
I
E=Mail
State or County License
if value ofconstructioiris 2500 or more, a RECORDED Noticeof Commencement,ls:regi
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN;'LA1tU INF.gRMATION
a
DESIGNERJENGINEER:
_ Not Applicable
•'
MORTGAGE COMPANY:
i� i Iv to .... y� k.
Nat Applicable.
Name: Donadio and Associates
Archltectis P.A.
'Name:
Address:2001 9th Avenue,
Suite'308
Address:
City: Vero Beach
State: FL
City:
State:
Zip: 32960 Phone 7,72-794-2929
Zip:. Phone:
FEE SIMPLE TITLEHOLDER:
XNotAppiicable
BONDING COMPANY:
X NotApplicable
Name:
Name:
Address;
Address:
City.
City:
Zip: Phones
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 installationhas commenced prior totheissuance of a permit.
St. .Lucie:Countvmakes no representation that is arantine a oermit will authorize the nermit'holder to hlfild.thn'... hicYtttR,rrtirn
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 approvedplans, 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 paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St:
Lucie,County and posted on the jobsite before the -first inspection. If you intend to obtain financing, consult
With lender or an attorney before comniencing'work or recordingyour Notice of -Commencement.
ufe o�'wner/Lessee/Contractor as Agent for Owner Signature of contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF Saint Lucie COUNTY OF
Sworn to (or affirmed) and subscribed before me of
X.Physical Presence�or . Online Notarization
this 22 day of December 2020 by
_Nvt \ 0\
Name of person making statement
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this _day'of .2020 by
Name of person making statement.
Personally Known X OR Produced identification_.. Personally Known: OR Produced' Identification
Type of Identification Type of Identification.
Produced
f Notary Public -State -of Florida I:
No. (Seal)
REVIEWS
FRONT
ZONING_
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW.
REVIEW
REVIEW
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DATE
RECEIVED -
DATE
COMPLETED