HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10-15-2019 Permit Number:
COUNITY RECEIVED
Building.Permit Applicata n OCT 2 1 2019
Planning and Development Services
Building and Code Regulation Division ST. Lucie County, Permitting
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT TYPE:Building Permit
PRO'POSEDJIMPR'OVEMENTL'OCATfON
Address: 360 Barraclough Street
Property Tax ID#: 3403-802-0024-000-2 Lot No.12
Site Plan Name: Block No. 2
Project Name: 360 Barraclough Improvements
DETAILED DESCRIPTION OF WORK r,
Replacement of 40 LF,of existing rotted exterior siding and sheathing. Replace with New Hardie Board Lap Siding
Remove and Replace 1 Exterior Door and 1 Window
CONSTRUCTIONfINFORMATION:
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:$ 2400 Utilities: —Sewer —Septic Building Height:
OWNER%LESSE( CONTRACTOR. "
Name Savanna Concierge LLC Name:Devin Wheaton
Address:1239 Alton RD Company:Treasure Coast General Contractors
City: Miami Beach State:_ Address:1720 Copenhaver Road
Zip Code: 33139 Fax: City: Ft. Pierce State:FL
Phone No. Zip Code: 34945 Fax:
E-Mail: Phone N0772-201-5426
Fill in fee simple Title Holder on next page(if different E-Mail treasurecoastgc@gmail.com
from the Owner listed above) State or County License CGC1526542
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 IN',, ATION
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 YO ENDER OR AN ATTORNEY BEFORE RECORDING YOUR N CE OF COM CE ENT."
—&Zz��
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF •, - �t/`L�<
The forging instr 1ent was acknowledged before me The fo Qing instrume t was acknowledged before me
this day of L o 20� by this l� ay.of OLS-L,. < 201a 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 Identificatio
Produced LJ L Produced ) V
CU
(Signature of Notar ublic-State of Florida) (Signature of Notary Public-State of Florida)
Commission No�(,2$7�7- e o ission No. LtG-�? 7 3-Cj
ear, tory Public State of Flor de
Colleen Sue Hayes P�
Notary Public State F rich €
M Commission GG 287 9 Colleen Sue Haye
ires 03/15/2023 5 25
or � Expires 03/15/2023 f
REVIEWS FRONT S VEGETATION SEAT
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.2/7/19