HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 0/ r L'
Date: 3' �5 I g Permit Number: b U .?
RECEIVED
Building Permit Application MAR 15 7018
Planning and Development Services Permitting Department
St. Lucie Crnmr,
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential ✓
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address:�(� Qr7f'C�-� 1 pYl �,CAL/.eS r.
Legal Description: Cye I�k4e fiat' 0r-% r_Rt C Se a Ar lit 49
Property Tax ID#: 321 503 O053 ocp (0 Lot No.49
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Sin,-
CONSTRUCTION
rcCONSTRUCTION INFORMATION:
Additional work to be nertormed under t ispermit-check all appy:
HVAC Gas Tank E]Gas Piping Shutters Windows/Doors
11 Electric ❑ Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: N I F� S . Ft. of First Floor:
Cost of Construction: $ CSO
��0� ' Utilities: _Sewer F]Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name t/1 i Name: _s��n nYan
Address.—'6011 an��-��b�> Y&S DE. Company: Jx�)Y1�1 _)cCc0y__'n �-C1C•
City: i'Or-t- Ste%r-& -Oct a State:2 Address: �dl blCcacncler f�►� _
Zip Code:3tig Z(O Fax: City:�0(-+- i c(-C-O-- State-B.-
Phone
taterPhone No.-712- -,19 - L 13L� Zip Code:3W-4"1aZ Fax::—�1=12--�p(.,,_tC -_q I
E-Mai1:�1L212C� (2 CLC>' . CGrY Phone No.-1^12- 88U
2-- '2�
Fill in fee simple Title Holder on next page(if different E-Mail: ' 1 1 C
from the Owner listed above) State or tounty,License 2
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: APhone Zip: P ne:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: P
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 jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording our Notice of Commencement.
Signature of ner ctor as or Owner Signature o ntractor/Licens older
STATE OF ORID STATE OF ORIDA
COUNTY �" COUNTY OF 5� ls�c-ze
The forgoing instrument was acknowledged before me The for Q ng instrument was acknowledged before me
this y of�1 ClfC�'l 201 by this �y of M('►rC h 20 by
�r,n JGCis ',6�)n lrtras
kih
Name of per sogmaking statement Name of personf�ang statement
Personally Known �/ OR Produced Identification Personally Known VOR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Signature cl Notary blic- ignature of Notary P Ic-State of Florida
.4p►y,- Notary Public State of Florida
Commission No. (li1`yLdmrnaeso GG 183057 mmission N !P�or
r4rr I�uPblicStateofFlorida
Expires 11/2812021 My Commission GG 183057
os�` � Expires 1112812021REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION URTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17
JOHN JACOBS CONSTRUCTION, INC.
4701 OLEANDER AVE.
FT PIERCE FL 82 RECEIVED
349 MAR 15 1018
Cell: (772) 882-8334
Permitting Department.
Fax: (772) 466-6491 St. Lucie Count,
License# CBCo60421 / CFC1429607
PROPOSAL SUBMITTED TO: WORK TO BE PERFORMED AT:
NAME: Kathleen Knight ADDRESS: SAME
PGA
ADDRESS: Sou Plantation Lakes Dr. CITY/STATE: FL
CITY/STATE: Fort Pierce,FL DATE OF PROPOSAL: 3/9/2018
PHONE: 772-5191134/772-465-4226 Front Door Replacement Proposal
EMAIL: Bk212o@aol.com
DESCRIPTION:
• Demo and remove existing front entry door, side lites, and jam
• Install customer supplied outswing front entry door with 2 side lites and mull
bars between each
• Supply and install framing and drywall where and as needed; finish; smooth;
touch up paint where and as needed
• Supply and install 4"trim around door jam, attempting to preserve red brick
• Supply and apply caulk and seal in place
• Supply and apply white paint to interior and exterior trim, door, and casing
• Install only, customer supplied door hardware and deadbolt
• No permit included in this quote; customer will be responsible for cost of permit
with appropriate product approvals and installation spec sheets