HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit..umber: tu
1449
. UN 2 5 '1U19
F• Q Ems{.: , u, Qepartment
P
ermittin9 ,ntV
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Building Permit Application St.
Planning and Development Services
.�3yi1ding and Code Regulation Division
2300 rgihia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential . X
t'Oftl)T TYPE:T1-11 Siding
PRO,PO$ED IMPROVEMENT-LOCATION;
Address: 5511 Palm DrFort Pierce;•FL 34982
Property Tax ID#: 3402-609-0131-000-9 Lot No.33
Site Plan Name: INDIAN RIVER ESTATES-UNIT08-BLK55 LOT 33(MAP 34/11N)(OR 528-1186:1075-858:1156-1789) Block No. 55
Project Name:
;DETAILED DESCRIPTION-OFWORK. ,
Replace areas of T1-11 siding on east andsouth asides of home..Pressure wash &pain t,exteriorof home.
CONSTRUCTION-INFORMATION: =
Additional work to be performed under this permit–check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors
Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft bfC-6nstruction: 92 Sq. Ft.of First Floor:
Cost of Construction:$ 5680.00 Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE :,CONTRACTOR:
Name Dean Carroll Name:Paul verga
- v 551.1 Palm Dr Versatile Im rovements 8�Remode�in -
Address:` Company: P 9
City: Ft Pierce State:_ Address:2006 SW Certosa Rd
u Z p.`Code: 34982 Fax: City: Port StyL�cie �S attY; 1.
Phone No. Zip Code: 34953 Fax: 772 878 2997
rE7M.ail: Phone No 772215 6040
.,..
Fill in fee simple Title Holder on next page(if different E-Mailvirfl@hotmaiLcom
from the Owner listed above) State or County License CRC1330670
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
If value of HVAC is$7,500 or more,a RECORDED Notice of Commencement is required.
"SUP PL-EMENTA-L-CONSTRU.CTI ON-LI EN-LAW LN'FORMATION
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: -Not Applicable
Name: rc
Address: Address:
City: State: City: State:
__Zip;,: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
OWNER/CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permit to do the work and.installation as indicated.
I certify that no work or installation has commenced prior to the issuance ofa permit.
L'u`cre Caunty-makes no representation that is granting a pefiriit will authorize the permit holder to build the subject structure -
which is in conflict with any applicable Home Owners Association rules,bylaws or and covenants that may restrict or prohibit such
structure.Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
,,Inconsideration of the granting of this requested permit,_I_do hereby agree that I will,.in all_respects,perform the work,__ ...
in accordance with the approved plans,the Florida Building'Codes and St.Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review:room additions,
accessory_structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use _
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
__P.O_.$TED ON JOB SITE B FORE THE FIRST INSPECTION. IF YOU 1 D TO OBTAI FINANCING, CONSULT
�1 fffi'"Ij DER OR AN MORNEY BEFORE RECORDING YOUR N E OF COMMEN MENT."
Signa ure of Owner/Lessee/ContractZr as Agent for Owner Signature of Contractor/License Hol r
STATE OF FLORIDA STATE OF FLORIDA
-COUNTY OF51� LAA COUNTY OF S'� Lu C�—
The forg�instrument was acknowledged�efore me The forgoing instrument was acknowledged before me
this,. O day of 20 by thisACday of 26L!� by -
rP,�l rr a a
Name of person making statement. Name of person making statemen .
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of IdentificatiqLQ
"Produced- D( Produced rt✓
(Signa �' tFtrl>11i�►a ®faFltoRltl�i� (Signature gtarx u Icg ��P pJ�
=* *= ommission#GG 270079 .�SosYP�B�.,
=+ P My Commission Expir$ _?:° 4�;State of Florida-Notary Public
Comm ib ° ncteb®r 29, 2022 l9ea Commissio Commission #GG `�
7
°Q�, ission E�tpires�
iiI%%%`� October 22,..202.2.-
REVIEWS
2,..2022 -
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE"'�.--_-
COMPLETED
ev.2/7/19