HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Date: �� Permit Number: I `� V
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Building Permit Application
Planning and Development Services Co d?°
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax: (172)462-1578 Commercial Residential X
PERMIT TYPE:Demolition
4�AROPOSED LMPROVEME;N,T LC±CATION
Address: 3405 W Midway Road,Ft Pierce, FL 34982
Property Tax ID#: 3403-502-0191-000/2 Lot No.
Site Plan Name: Block No.
Project Name: Buchmeyer House
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;VbETAiLED DESCRIP-TION OF WQRK s k t
Demolition-of Existing Structure
jCONSTRUCTION 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: 756 Sq.Ft.of First Floor:
Cost of Construction:.
ties:
Utilities:$ Sewer Se ti
_ p c Building Height:
QWNER/LESSEE „ "CO[VTRACT' b
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Name Ronald Buchmeyer Name:Ronald Buchmeyer
Address:20910 Glades Cut Off Road Company:Tommy Hawkins&Sons, Inc.
City. Port St Lucie State: FL Address:909 Barrel Avenue
Zip Code: 34987 Fax: City: Ft Pierce State:FL
Phone No.772-464-5548 Zip Code. 34982 Fax: 772-464-0594
E-Mail:rj@hawkinspaving.net Phone No 772-4647587
Fill in fee simple Title Holder on next page j if different E-Mail rj@hawkinspaving.net
from the Owner listed above) State or County License CGC 1508181
if value of construction is$2560 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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SU,PPLEMENTAL'CONS'TRUCTION LIEN'LAW INFQRMATION
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DESIGNER/ENGINEER: X_. .Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: x. Not Applicable BONDING COMPANY: x 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.
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 Horne 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 Owne/ ssee/Contractor as Agent for Owner Signature of Contr c rAicense Holder
STATE OF FLORIDA STATE OF FLORIDA
4M:�_
COUNTY OF ST LUCIE COUNTY OF ST LUCIE
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 8th day of September .2019 by this 6th day of September 2019 by
Ronald Buchmeyer Ronald Buchmeyer
Name of person making statement. Name of person making statement.
Personally Known X OR Produced Identification Personally Known X OR Produced Identification
Type of Identification Type of Identification
Produced_�fa Produced l
gfiature of v" ' p _ nature ofdjal ,y, iF`6f c—j@Q# lrliil [?E1�3
� a, e Commission##GG 25312
NI ATNER .�,
HARDEiV i" l '= Commissio I?�� res
(�, Commission g 1 Commission ar p20
Commission" , t2�3.2 •, C , August 28,
i i ' ,`, Y Commission Eri;ires ~~ �,�� ,o`
August 2
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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