HomeMy WebLinkAboutBuilding Permit Application i
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED (�
Date: Permit Number: �'"It—�
Building Permit Application
Planning and Development5ervices
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax: (772)462-1578 Commercial X Residential
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PERMITT1rPE:Stucco repair
PROPOSED IM'.PROVEMENT LOCATION`
Address: 31.8 E Midway Rd, Fort Pierce FL 34982
Property Tax ID#: 3402-605-0133-000-1 Lot No.
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION QF WORK t,'� ,,r _ #�,� ems: - r; f
iStucco falling off S wall. Remove stucco,replace damaged plywood,housewrap,wire lathe and Stucco
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CtJNSTRUCTION"INFORMAT ION-
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Additional work to be performed under this permit—check all that apply:
_Mecha'nical _Gas Tank _Gas Piping _Shutters _Windows/Doors
T Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: /Zb Sq.Ft.of First Floor:
Cost of Construction:$ 1500.00 Utilities: —Sewer _Septic Building Height:
sOWNER/LESSEE H GCONTRACTOR r
Name S.Fort Pierce Congregation of Jehovah's Witnesses Name:Kevin Firestone
Address:318 E Midway Rd Company:Firestone Construction Inc
City: Fort Pierce State:_ Address:2183 S Brocksmith Rd
Zip Code: 34982 Fax: City: Fort Pierce State:FL
Phone No:772-579-3561 Zip Code: 34945 Fax:
E-Mail:stevegetdown@gmail.com Phone No 772-216-9379
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Fill in fee simple Title Holder on next page(if different E-Mail firestoneconst@gmail.com
from the Owner listed above) State or County License
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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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION
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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 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 Y UR LENDFa OR AN ATTORNEY BEFORE RECORDING YOUR NOT E OF COMMENCEMENT."
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Si nature of Owner/Lessee/Contractor as Agent for Owner ignature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
! COUNTY OF COUNTY OF
The for oing instrument was acknowledged before me The forgoing instr ernt was acknowledged before me
this /day of 20_ by thiso`�day of 20h by
' Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of IdentifiSWon Type of Identifi tion
Produced Produced ,
(Si toe of Nota (Si ture of Notary Public-St9he of Florida)
; LASHAHNAINGRAM•RAHMING
Commission N MYCOMMIV@@►I fGG275060 Commission No. (Seal)
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. P s EXPIRES.Decembet'20,2022
Gp FIi1 Bonded Ttuu Notary Public Underwriters
NAINGRAM-RAHI
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REVIEWS. FRONT ZONING SUPERVISOR PLANS E ) NMY OMMRTM27 oN GROVE
COUNTER REVIEW REVIEW REVIEW E7 IRS RAM r* 2 22 R IEW
DATE rs
RECEIVED
DATE
COMPLETED
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