HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABL•:E TNFO,MUST.,BE COMPLETED,FOR APPLICATION TO•BE ACCEPTED
Date: ermit Number:
RECEIVED
° Branding Permit Ap: 1i #ron JUN 12 ', ,1.8
Planning and Development Services ST. Lucie County, Permitting
Building and Code Regulation Division
2304 Virginia Avenue,Fort Pierce FL 34982
Phone: (772).462-1553 Fax: (772)462-1578 COCr4mercial Residential, °
PERMIT A.PPLICATIO;N-.FOR: OemOlifiit
PROPOSED I'MPROV/EMENT LlOCATION
Address: 3
Legamescription: 5 LckS 1+0$ I6 VAC, 5
Property Tax ID#: C) —5N 2 Lot No. I_
Site Plan Name: Block No. 5
Project.Name: -
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
knot;�i on c ' SiS'h'n c,�ccl.� �rcLm2 5�{-r�cur� I q�� • �'
CONSTRUCTION INFORMATION:
Addittonal,work to be nerformed under tis.permit—check.appy:-
L
{{��UHVAC Gas Tank 06as Piping LiShutters Windows/Doors
=L-U Electric ,Plumbrng 'Sprinklers Oenerator oRoof . Root pitch
Total.Sq. Ft-of.Construction: SCI.Ft,oi First Floor:
Cost of Construction:$ ,5 7. Utilities S werfnSeptic Building.Height:
OWNERAESSE'E: CONT CTOR
Name I i� I nA ' Name: Michael-J Waldrop
i 'Address: ;c��� �. C�C�Q �i Compa y: -Innovation Contracting Inc
'City: �{ . �1P�(�'P_ _ State:1ZL Addres : P.O.Box 12757
T F Pierce FL
Zip Code: � ��-{� Fax: .City: State: '
Phone No. Zip Coc e: 34979 Fax:
E-Mail: Phone qo. (772)519-9108
Lmple Title Holder on next page(if different E-Mail: info@ innovationcontracting.com
wner listed.above) State:o County License: CGC1511910
nstruction is$2500 or more,a RECORDED Notice of Commen ement is required.
t;.
�SUPPLEMENI'AL CONSTRUCTION LL.EN LAW fNFORMAT ON
.: a r, s - ,
DESIGNER/ENGINEER. x Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:Mic hael J Waldrop
Address: Address:
City: State: City: Ft.PI rce State:.
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE BOLDER: _Not Applicable BONDINO COMPANY: Not Applicable
Name: Name:
-Address:P.O.Box 12757 Address:
City: City:
Zip: Phone: Zip: Phone:
OWNER/CONTRACTOR AFFIDVI.T:Application.is hereby made to obta n a permit to do the work and installation as indicated.
I:certify:that.no work orinstallation has.commenced.prior to the issuance:of permit.'
St.Lucie County makes no representation that is granting a permit will autho ize the permit holder to build the subject structure
Which is in conflict with any applicable Home Owners Association rules,byla s or and covenants that may restrict or prohibit such
structure.Please consult with.your•Home Owners.Association.:and-review yo r deed for.any restrictions which.may apply-
In consideration of the granting of this requested permit,I do hereby agree t at I will,in all respects,perform the work
in accordance with the approved plans,the Florida Building Codes and St.Lu ie 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 T vIINER:Your failure.tn Record a Notice.of Commen ernent result.in y.aur payingawice:.for
improveme to your property. A Notice of Commencement m st b r orded and posted on the jobsite
before th fist inspe ion. If you intend to obtain financing, con u w' lender or an attorney before
comme ' work rec rdin our`Notice of Commencement.
36 e of 0 ee Contra t r as Agent for Owner Si a Contra ense of r
TATE-OF FLORIDA STATE F FLOR DA
COUNTY OF�� . L), ue COUN
The forgoing instrument was acknowledged before me TheJorg ing instrument.was acknowledged before me
this 'day of line 201 by this t�day of , f i1 204 by
j—+A2ralAC14 ,
Name of person making st tement Name of person makint statement
Personally Known OR Produced Identification Personal Known
Type of Identificatio Type of I entific tion ,°tiY pGe-., KRISTY SEXTON
Produced °� :. KRISTY SEXTON Produce =?� �� Notary Public-State of Florida
ry Public-State of Florida a �s ommissian k GG 208344
Commission p GG 208344 `�}i5 "' o� oo-_ My Comm.Expires Apr 17,2022
of My Comm.Expires Apr 17,2022 Bonded through National Notary Assn.
Bonded through National Notary Assn.
(Sigr ature.:of N to Public-State:of Florida j (.Signatu e.o o ry Public-State of Florida)
Commission No. LJ (Seal) Commis ion No. 7 (Seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA-TURTLE' IVIANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
-RECEIVED
DATE
COMPLETED
Rev.8/2/17