HomeMy WebLinkAboutBuilding Permit ApplicationSUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: ✓ Not Applicable
Name:_
Address:
City:
Zip:
Phone
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:_
State:
Not Applicable
MORTGAGE COMPANY: ✓ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
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 YOURARMCLE OFCOMMENCEMENT.-
Signature of Owner Lessee/Contractor as Agent for Owner
Signature of Cont actor/License Holder
STATE OF FLORIDA
STATE OF FLORI
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The forgoing instrument was acknowledged before me
The forgoing instru nt was acknowledged before me
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this 2 `s- day of L � 20 ( l by
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Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification
Personally known V OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
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December 43, 2021
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date.
•
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Permit Number:
Building Permit Application
PERMIT TYPE: Building
PROPOSED IMPROVEMENT LOCATION:
Address: 3703 Ave M , Fort Pierce, Florida 34947
Property Tax ID #: 2405-601-0532-00012
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
Commercial Residential x
Replace exterior doors with hurricane impact doors.
CONSTRUCTION INFORMATION:
Lot No. S
Block No. 29
Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank _ Gas Piping Shutters Windows/Doors
Electric — Plumbing _ Sprinklers
Total Sq. Ft of Construction: 700
Generator Roof Pitch
Sq, Ft. of First Floor:
Cost of Construction: $ 0 G1429 0 C) Utilities: —Sewer _Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name Marge Allen
Name: Ignacio Lizama
Address: 3703 Ave. M
Company: Construction Management of Florida, Inc.
City: Fort Pierce State:
Zip Code: 34947 Fax:
Phone No. 772-672-2212
Address: 2655 49th Street Suite 1
City: Vero Beach State: FI
Zip Code: 32967 Fax: 772-226-5996
Phone No 772-770-2120
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail adel@cmfloridainc_com
State or County License GCG057311
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.