HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Dat�;� 9 r Permit Number: '/ vc� o y
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Building Permit Appliction FEB 2 6 2019
Planning and Development Services
Building and Code Regulation Division Permitting Department
2300 Virginia Avenue,Fort Pierce FL 34982 S t. Lucie County, FL
Phone:(772)462-1553 Fax: (772)462-1578 Commercial R
PERMIT TYPE: Demo and Replace Drywall
PROPOSED IMPROVEMENT LOCATION:
Address: 6905 Belleair Ave, Fort Pierce, FI 34950
Property Tax ID#: 1301-611-0144-000-4 Lot No.9
Site Plan Name: Block No. 107
Project Name:
DETAILED DESCRIPTION OF WORK:
Remove and replace existing smoke damaged drywall on ceilings and walls.
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors
_Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
NameFeroz Chagani Name:Kenneth I.Lippard
Address:1989 SUS highway 1 Company:Lippard Construction Inc.
City: Fort Pierce State:_ Address:1200 Driftwood Lane
Zip Code: 34950 Fax: City: Fort Pierce State:FI
Phone No.772-370-7548 Zip Code: 34982 Fax:
E-Mail: Phone No772-370-7548
Fill in fee simple Title Holder on next page(if different E-Mail lippardconstruction@comcast.net
from the Owner listed above) State or County License CGC1515384
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
If value of HVAC is$7,500 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: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: 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 thepermit 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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU
INTEND TO OBTAIN FINANCING, CONSULT
WITH UR LENDER OR AN ATTORNEY BEFORE RECORDING YOU NOTICE OF COMMENCEM T."
Sign ture of w r Les /Cot ctor as Agent for ignature of Contract c s r °f
STATE OF FLORIDA -°:,*,' STATE OF FLORIDA
COUNTY OF o COUNTY OF $ m:z
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The fin
oing instr nt was acknowledg efore 2 p`;9 The f4�roing instru t�(as acknowledge before me z m�
thi day of 20�by o 9? this/'G-day of b• 20 py U'CD
Sam
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Name of person making statement. a N�VV Name of person making statement. y�
Personally Known / OR Produced Identificatio N N Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Signature of N ry Public-State of Florida) (Signature of Notary blic-State of Florida)
Commission No. (Seal) Commission No. (Seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.2/7/19