HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10IM2019 Permit Number:
_ RECEIVE o
Building Permit Applicatio OCT 2 3 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:Siding
PtPOSED°IMPI�n\/EMIwNT CATIQ`N
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Address: 8279 S. Indian River Dr
Property Tax ID#: 3518-341-0002-000-1 Lot No.4
Site Plan Name: Block No. 370
Project Name:
�DIrTAILEDDij5CRIRTION QF W. RK
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Tyvec and Hardie plank all exteroir walls
CONSTRUCTGON6INFQRMATION
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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: $_ /4,f$3 Utilities: _Sewer _Septic Building Height:
Y Y N RYLESSH 5 V }
'CONTRAyCfQR `
Name Robert C Sullivan Name.David Browne
Address:8273 S Indian River Dr Company:Dave Browne's Home Improvments INC
City: Fort Pierce State:_ Address:5501 Seagrape Dr
Zip Code: 34982 Fax: City: FP State:FL
Phone No.772-353-1466 Zip Code: 34982 Fax:
E-Mail: Phone No 772-353-0140
Fill in fee simple Title Holder on next page(if different E-Mail634983@gmail.com
from the Owner listed above) State or County LicenseCRC1330776
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.
SUPP,EMENTALCO,NSTRUCTIO►NL1EN lAW 4NfFORMATfUN
DESIGNER/ENGINEER. NotApplicableMORTGAGE 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/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF COUNTY OF
�`� STATE OF FLORIDA Cl
(� COUNTY OF � JC
The r ing Inst n was acknowledge efore me The Ing ins tr e t as acknowledge efore me
this day of 201:1 by thisrday of 20j by
Name of person making statement. Name of person making statement. /
Personally Known OR Produced Identification v/ Personally Known OR Produced Identification
Type of Identif ' n Type of Identifi on
Produced Produced
9 LL
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44
(Signatur of Not r ublic- tate of Florida) (Signature of Notary ublic-State of Florida)
P'+ KAREN S��{IELSEN o%I
Commission No. .moo''" "BC �rtFa"►d Commission No. :t�"P��,, K �1�1 S. NJ
of Flo otary Public n_State of F orida-N
vc Commission # GG 207484 •= Commission #Gos M Com` June 12, 022 �''��"`��� J ne 1 Io
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