HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3 ' Permit Number: O ® �
RECEIVED
COUNTY
SEP 13 2019
Building Permit Applicat q Lucie County, Permitting
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential x
PERMIT-TYPE: Water Heater
PROPOSED IMPROVEMENT LOCATION Y°
Address: 8403 Deland Avenue, Fort Pierce FL
Property Tax ID#: 1301-605-0402-000-2 Lot No.
Site Plan Name: Block No.
Project Name:
_77
DETAILED DESCRIPTION OF WORK:
CONSTRUCTION INFORMATION: f
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:$ Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name HOME SFR Borrower LLC Name: c
Address:3505 Koger Blvd Company:
City: Duluth State:_ Address: Z t2 Y I ' �(
Zip Code: 30096 Fax: City: Q � ' L\.3 0e State:*-f-l.
Phone No. Zip Code: 3 Vs3 Fax:
E-Mail: Phone No
Fill in fee simple Title Holder on next page(if different E-Mail60• d KY1
from the Owner listed above) State or County License (y �6G
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 COMMENCE %EN MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU TEND TTAIN FINANCING, CONSULT
WIT"YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NO OFCENCEMENT."
�ig�ture of-Owner/Lessee/Contractor as Agent for Owner Signature of Contra t r Licens der
ATE OF FLORIDA STATE OF FLORIDA
OUNTY OF COUNTY OFC-k
The forgoing instrumentwas ,acknowledged before me The for ping instru ent was acknowledged before me
this afqay of 20AI by this ay of 20n by
LacL
"Name of person maki
ngent. Name of person making statement.
Personally
Personally Known Produced Identificati ers ally Knowny OR Prod u Identification
Type of Identification `,,�`�Q�� Type o Identification
Produced ` y�pR1SCt((gs9y, ' roduc d
oT NOTARY
PUBLIC
COMM.#GG 96260 —
Si natu •of ota Pu lic-State of Florida vCOMM,Expi(ps
(.;g ry ) Sign re of Notary Public-State 01br a)
Apr 19.2021 � p. * Cotnmissial#GG X75823
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April 114,21=
commission-No. '�l-1 �-�� (Sell '9T Commission No. yr �� S
REVIEWS' . - "FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Te—v. 2/7/19