HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Building Permit Application, /2019
Mitt;
Planning and Development Services st 9 oe
Uc,p Part
Building and Code Regulation Division County
ent
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT TYPE:
PROPOSED INPROVEMENT LOCATION: .
Address: 2'22 C-DO-VV Or • , `o.kcn\?"\ car l slocrka
Property Tax ID#: I Z{-aO •'l0Oa - 0009 - ODD --3 Lot No. 4
Site Plan Name: Block No.Pg.
Project Name:
DETAILED DESCRIPTION OF WORK:
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CONSTRUCTION INFORMATION:
Additional work to be performed under this permit–check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters —Windows/Doors
XElectric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 1600-00 Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name 1(YUjCes-r.Q.2r ClG,k\ekc.kif Name:Edward June
Address:_32 . O 004 e.vri . Company:Ed's Electric Inc
City: 1.1,tt-E,h ;rice-,,r...,_ ‘ s 1a,rc6k State: '(L- Address:6201 Oleander Avenue
Zip Code: -9,49*el Fax: City: Fort Pierce, State:FL
Phone No. .-772 30�. — 3L.F2 L Zip Code: 34982 Fax: 772 467-1359
E-Mail: Phone No 772 489-2196
Fill in fee simple Title Holder on next page(if different E-Mail kjune53288@aol.com
from the Owner listed above) State or County License EC0001569
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.
1
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 prohibitisuch
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
commencingwork or recording your Notice of Commencement.
—2C2
Signature of Owner/Lessee/Contrac • •s Agent for owner Signature of Contractor/Lice a der
STATE OF FLORIDA SI 1 STATE OF FLORIDA _
COUNTY OF t. ► COUNTY OF st Lucie
The fo�rg,oQ1f�,,ig instrurntwa acknowledge J.before me The for oing instr ent w acknowledged efore me
this ( I'day of ,201'1 by this E L day of DO- ,20 I(-1by
Name of person making statement. Name of person making statement.
Personally Known ✓ OR Produced Identification Personally Known X OR Produced Identification
Type of Identification Type of Identification
Produced Prod ced
J-1-au
of ota Public-State Florida
ACUIQ,lik.,. -Iottu JtYLIP.,,_
(Signature ry 1....,..,...4 (Signature of No ry Public-State •. F • '., _. .� •—
/� 1�: STACEY GARC A •t;�Y P 44. STACEY GARCIA r
Commission Nd l�� � q )MY COMMISSION#Gv itis.-ion No. 00085840
',�� SpIVdOMMISSION#GG 0E5& l
;- -p= EXPIRES:May 16,2021 if!.;'�..: = EXPIRES:May 16,2021
��i''OF F,i'''�� Bonded Thru Notary Public .. ,' J1. s Fpr FtoS•' .. .:,'Nu Notary PublIc Underv+d,rs
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ley.9/26/18