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HomeMy WebLinkAboutBuilding Permit Application • • - ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: ,. I-19— g Permit Number: Ib1Rr ®K I:CEIVED C ,,s4 -ii,,- -._.:....7'..,Q *- r, . vNOV 1}9 701e Building Permit Application Permitting�ep�rtment Planning and Development Services SC,6y�!eaNt1t ;i Building and Code Regulation Division 2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line PROPOSED, 1w!rROVEMENT LOCATION,' Address: 3104 AVENUE S, FORT PIERCE, FL Legal Description: SUNRISE PARK NO 1 BLK 2 LOT 20 (0.17 AC) (OR 4095-2853) Property Tax ID#: 2405-501-0045-000-4 Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: f.. : s DETAILED DESCRIPTION OF WORK, r RE-ROOFING: -DRY-IN:TRIBUILT PEEL AND STICK -TAMKO ROOF SHINGLES CONSTRUCTION INFORMATION § Y Addnnitional work to be performed under this permit—check iall that,apply: T]HVAC _Gas Tank Gas Piping _Shutters [J.Windows/Doors I I Electric ❑ Plumbing Sprinklers _Generator _Roof 3:12 Roof pitch Total Sq. Ft of Construction: 1925 S . Ft.of First Floor: 1925 Cost of Construction:$ 13500 Utilities: _Sewer _Septic Building Height: 9.0 FT OWNER%LESSEE rCONTRACTOR Name MAXIPLEX, LLC Name: ALBERTO MUNOZ Address:5475 NW SAINT JAMES, DR. #407 Company: CONFORT BUILDERS, LLC City: PORT ST. LUCIEState:F� Address: 393 NW STRATFORD LN. Zip Code: 34983 Fax: City: PORT ST LUCIE, State:FL Phone No. Zip Code: 34983 Fax: E-Mail: Phone No. 772 224 9110 Fill in fee simple Title Holder on next page(if different E-Mail: COBUILDERS15@YAHOO.COM from the Owner listed above) State or County License: CCC1328737 If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATIQN DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable�1 Name: Name: ,I Address: Address: City: State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: _Not Applicable Name: Name: Address:393 NW STRATFORD LN. 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 represu sentation that is granting a permit will authorize the permit holder to build thesubject 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 your Notice of Commencement. I /f/,✓ r , �� G - - , • . Signature of Owne /Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE COUNTOF Y OF ORIDh7l L-U. CA Q COUNTSTATE Y OF F FLORIDA S\— L & c 1 i J1--- The forgoing instrument w s acknowledged before me The forgoing instrument was acknowledged before me this /fday of C:)✓ ,20 tJ by this /lay of A) Q✓ ,20_7S–by a.t�.. r �Xn c02 J-U .),-1 )‘Il UE,— Name Z _Name of person making statement Name of person making statement Personally Known OR Produced Identification Personally Known . OR Produced Identification Type of Identification Type of Identification Produced c- PL_ Produced __ 0(-- ejtjAICCUr _ Fo,,,u,,,e-- ( g ,,,..i _.,�y,", �,'bf Lublic GHN( g r, � rc-st����1b�fSi natur ���- Si nature of M1 oa�� '(�J'r° °0_State of Florida-Notary Public * *_ Commission0 9 - "l-* *_ Commission # G2, 0079 CommissVr.:C=ili My CommiCommission N5. ;�i-i1"!4S „ ommissi �,E�iiies'"�`F��rOctobe ' i,ii ` " "` '� " October 22, 2022 II REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.8/2/17