HomeMy WebLinkAboutRigdon PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 4/9/2019
Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT TYPE:
Address: 10151 S Indian River DR Fort Pierce, FL 34982
Property Tax ID #: 3529-231-0008-000-9
Lot No. 1
Site Plan Name: 2136 41 N 150 FT OF 5 756.02 FTOF GOVT LOT 1 LYG E OF ELY RM/ FEC RR -LESS IND RIV DR R/W- (OR 4241-1940) Block No.
Project Name:
Remove and Replace 21 window openings and 5 doors with Impact rated units.
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Additional work to be performed under this permit– check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters D�Windows/Doors
Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
Name *1
Address: 10 15 1 5 )),e'
City: }y,%� �i C rcc State: _r�c
Zip Code: S"41,52— Fax:
Phone No.
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: Don Wilks
Company: Lighthouse Contracting Inc.
Address: 601 Heritage Dr. #480
City: Jupiter State: FL
Zip Code: 33458 Fax:
Phone No772 485 8412
E -Mail Lighthousecontracting@live.com
State or County License CBC1259158
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.
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DESIGNER/ENGINEER:
Not Applicable
MORTGAGE COMPANY:aaa
_ Not Applicable
Name:
Name:
Name of person making statement.
Address:
Personally Known OR Produced Identification
Address:
Type of Identification
City:
State:
City:
State:
Zip: Phone
1 -1 -Bonded through National Notary Assn.
Zip: Phone:
REVIEWS
FEE SIMPLE TITLE HOLDER:
_ Not Applicable
BONDING COMPANY:
Not Applicable
Name:
SEA TURTLE
Name:
Address:
REVIEW
Address:
REVIEW
City:
REVIEW
City:
DATE
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 INECTION. IF YOUi1 .TEND TO OBTAIN FINANCING, CONSULT
R OOI�
WHI,YOUR LENDEAN ATTORNEY BEFORE R ING YAUWNOTICE 00 COMMENCEMENT."
Kev. L/ i/ 19
Signature of / Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA. *
STATE OF FLORIDA �
COUNTY OF 7�
COUNTY OF Lu
The forgoing instrumentwa acknowledged before me
q eT�
The forgoing instr ent ovas acknowledged before me
this day of , 20__J�kby
this day of VU ,26 6 by
V-\ U1t�
Name of person making statement.
Name of person making statement.
Personally Known K OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signature of Notary Pub °`s# Flaw'
g y Wf P�blic-State of Florida
= Commission # GG 182849
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(Signature of Notary Publi S f..Floricla )pA i
s . �; Notaryublic - State of Florida
Commission No. =�* c< Commission # GG 182849
o? ` M4 -$-e }r. Expires Feb 5,2022
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MyC iresFeb5,2022
Commission No. qq�r�
1 -1 -Bonded through National Notary Assn.
onded thro�g�i a Tonal Notary Assn.
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Kev. L/ i/ 19