HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
;5 :I_r_
Building Permit Application
Planning and Development Services
Building and Code Regulation Division z
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 IM'PROV.,EMEN71:0:CATr
n
Address: 6702 woodsmere way, Fort Pierce
Legal Description: lake wood park unit 7
i
Property Tax ID#: 1301-607-0280-000-6 Lot No.1
Site Plan Name: Block No. 81
Project Name:
Setbacks Front Back: Right Side: Left Side:
J *17 b 5 .T y 4 er t EI3
DETAILED DESCRIPTION OF WORK f r . F.
STUCCO OVER EXTERIOR SIDING, INSTALL VAPOR BARRIER,WIRE LATH STUCCO APPLY SEALER PRIMER AND PAINT.
CONSTRUCTION INFORMATION
Additional work to e e orme under this permit—c ec a apply:
HVAC i 11 Gas Tank
E]
HVAC Piping _Shutters ❑Windows/Doors
f
Electric •0 Plumbing Sprinklers Generator 0—Roof Roof pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 8900.00 Utilities:Sewer 0 Septic Building Height:
OWNER LESSEE
: CONTRACTD
R
Name Roger L Newson Name: Fernando Velasco
Address: 6702 Woodsmere Way Company: Advance Building Contractors Inc.
City: Fort Pierce State:FL Address: 2440 S Jenkins Rd
Zip Code: 34951 Fax: City: Fort Pierce State:FL
Phone No. 772-834-8981 Zip Code: 34947 Fax:
E-Mail: Phone No. 772-342-6928
Fill in fee simple Title Holder on next page(if different E-Mail: advancebuildingcontractors@gmail.com
from the Owner listed above) State or County License: CRC 1331595
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SOpPLEMEN rLCfJNSTRUCTiaN;Lil i=AUVxi'N ORMA�"it1V '"
..�r1,kn<>f'4m.W h uS.43,.E.k,n�,er,..jk •ta,r c�.M,�: .:.,,ink-Fvv Ns. v,v,Sn£, ;�.,uN
DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State: City: —State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: `Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address:2440 S Jenkins Rd 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 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 fallowing 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:You ailure to Re rd a Notice of Commencement may result in you twice for
improvements to your pro erty.A Notice o Commencement must be recorded and p sted on th jobsite
before the first inspectio f you intend to o tain financing, consult with lender or a attorney be re
commencin ork or r ar 'n our Notice f Commencement.
Signature of Owner)Less ntra r s Agent for Owner Signature of Contractor License olde
;STATE OF FLORIDA -
STATE OF FLORIDA -
'COUNTY OF � !A At.. J 0 ) COUNTY OF
The forgoing instrvnient was acknowledgeA before me The foing instru t was acknowledggd before me
this day of_V__Z _ 20 by this day of :.. 20,"A by
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 Produced
AaT�Q _
(Signe of Notary Public-State of Flor!dati)1-iy GRAM (Sig`na ure of Notary Public-S ate of Florida)
-State 01 ti 10rida =
Commission No. 4 ri, i'+,4;,`y f(Seapires Dec 2a,2018 Commission No. (Seal}
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y1 r 4aa o1•=My 177299 r _ = '
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1 F $SA.' a'=My Comm.EXpire5 Dec?t),2U18t
Q:47' ted lhrou9h National Notary A ?Np" o,= Commi'sion yE FF 177249
onded through National t'otary ssnn..{
REVIEWS FROM ZONING SUPERVISOR PLANS VE i 4'10 ��LE� 1\71AIVGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2)17