HomeMy WebLinkAboutBuilding Permit Application _1
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 2AWUl-l9 �' 1� Permit Numbe
RECEIVED.
�� MAR 2 0 2099
wIMBuilding Permit Application
Planning and Development Services Permitting Department
Building and Code Regulatlon Division St. Lucie Connty, FL
2300 Virginia Avenue,-Fort Pierce FL 34982
Phone:(772)462-1553, Fax: (772)462-1578 Commercial Residential
PERMIT TYPE:Skylights
Address: 7001 Lakeland Blvd Fort Pierce, FL 34951 I
Property Tax ID#: 1301-612-0134-000-4 Lot No.19
Site Plan Name: Lakewood Park-Unit 10-BLK 123 LOT 19 Block No. 123
Project Name: Dixon, Marcus
install one tubular skylight
)
--- I
I
Additional work to be performed under this permit–check all that apply: 3
_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: $ 1,300 Utilities: —Sewer —Septic Building Height:
Name Marcus Dixon Name:James E Reynolds
Address:7001 Lakeland Blvd Company:Corad Inc
City: Fort Pierce State:_ Address:2771 Vista Parkway F-11 E
Zip Code: 34951 Fax: City: West Palm Beach State:FL
Phone No.7722028115 Zip Code: 33411 Fax: _
E-Mail:myresourcecenterl@gmail.com Phone No 561-439-2184
Fill in fee simple Title Holder on next page(if different E-Mail josh@theskylightcontractor.com )
from the Owner listed above) State or County License CGC054348
I 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.
I
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE BOLDER: _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 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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER R Y BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Signature of Owner/Lessee/Contractor as-Agent for Owner mature of Contra for/License Holder
STATE OF FLORIDA 4 C STATE OF FLORIDA ��`
COUNTY OF A 1_V��,It, COUNTY OF of(;il� �
The forgoing instrLVe t was acknowledgedore me The forging instru was acknowledged before me
this day of rw 20 by this� nt day of r � 20 A by
N e o erson makings ment. Name of person making to ement.
Personally Known OR Produced Identification Personally Known OR Produced !dentification
-.Personally
of Identification Type of Identification
P du(
ed Produced
C11
.. k_ . r,-,,/-"- /
A&
S"lyse L
oignture of No blit-State of STATON MARIAPU re otary Public-State 190 �►
Commission No. _ Comm►sslonOGG1 17 �;, CA
' BMW ftu AM
,
mmissio o. '- '' eal)
- Tiw��In 11081)(14 7019
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
--- -- DATE-------- —
COMPLETED
Rev.