HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: July 12,2019 Permit Number: I �
• RECEIVED
-- - - Building Permit Application
Planning and Development Services JUL 15 2019
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Building and Code Regulation Division
Permitting Department
2300 Virginia Avenue,Fort Pierce FL 34982 St. Lucie YeSY
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMITTYPE:
PROPOSED IMPROVEMENT LOCATION:
Address: 3101 Kingsley Drive, Fort Pierce, Flordia
Property Tax 1D#: 1432-807-0029-000-6 Lot No. 271
Site Plan Name: Block No.
Project Name: Allon Yarkony
DETAILED DESCRIPTION OF WORK:
Installing Window and Doors
FL 19715.4
FL 22513.2
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 of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 2200.00 Utilities: —Sewer —Septic Building Height:
;,OWNER/LESSEE: CONTRACTOR:
Name ac on, Name:Steven Drake Marston Jr.
Address: 1 Company: Manta Ray Construction
City:_}4_0 l y d (' �Q� State:� Address:2727 Treble Crk Apt 121
Zip Code:��� Fax-:) ���� City: San Antonio State:�eW,S
� aA�
Phone No.] - �'i'v Zip Code: 78258 Fax:
E-Mail: Phone No 772-201-8316
Fill in fee simple Title Holder on next page(if different E-Mail mantarayconstruction(cD_gmail.com
from the Owner listed above) State or County License 2 Q r o
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.
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 OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Signature of Owner/Lesse Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF — 1)(11
The for�., �instrumen was acknowledgedbefore me The forgi�ng instru ent as acknowledged before me
this l Ua of 20 by this�""`Sy c 201q by
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced Produced
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(Signatu CHERYL A H NSMITH (Signatur CHERYL A HO ENSMITH
:L • , ►�. :
Commissi MY COMMISSION#GGW4Q0 Commissi g MY COMMISSION#GG"q
EXPIRES April 04,2021 EXPIRES April 04,2021
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