HomeMy WebLinkAboutBuilding Permit applicationSUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _j/ Not Applicable
MORTGAGE COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: 1/ 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 COMMENCEM NT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TObBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING ICE OFCOMMENCEMENT:'
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Signature of Owner Lessee/Contractor as Agent for Owner
Signature of ontractor/License Holder
STATE OF FLORIDA
STATE OF FLORA
COUNTY OF Je ✓
COUNTYOF c"— ,� • ✓e �/
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this _Z'day of C_X_4Uk>-_ - 20f�'- by
this 'Z '�V—d ay of - �e r_ _ 2014 by
Amaya L• rwbi v .
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Name of person making statement.
Name of person making statement.
Personally Known )C T, OR Produced Identification
Personally Known le OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
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B E C KY LY N N H A N
ature f Nota Public- 5t +� I
'�' �; �ommissicn N GG 1
ub6c s, .,, My Commission Ex
ission No. &(C, (� q """"` ecember 03. 2 02
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(Signatur of Notary Public
Commission No. .- j
,%k ���,KY LYNN HANA
=� :State of Florida -Notary
* {3bgymission # GG 164)Q%
My Commission Expi
December 03, 202
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 217119
All APPLICABLE INF�O/ MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED � (�,
Date: b —� Permit Number: k/1 4 `°t '_
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0'g4' 4S
-1170
Building Permit Application ��b4
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fart Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMITTYPE:Building -Doors
PROPOSED IMPROVEMENT LOCATION:
Address: 7401 Arthurs Road, Fort Pierce, Florida 34951
Property Tax ID #: 1301-602-0066-000-5 Lot No. 22
Site Plan Name: Block No. 13
Project Name:
DETAILED DESCRIPTION OF WORK:
Replace exterior doors with impact doors where needed. r
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
_Mechanical — Gas Tank —Gas Piping — Shutters I/ Windows/Doors
Electric _ Plumbing
Total Sq. Ft of Construction: 200
Cost of Construction: $ 1,000.00
Sprinklers — Generator _ Roof Pitch
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Margaret Chapman
Name: Ignacio Lizama
Address: 7401 Arthurs Road
Company: Construction Management of Florida, Inc.
City: Fort Pierce, Florida State: _
Zip Code: 34951 Fax:
Phone No. 772-448-8410
Address:2655 49th Street Suite 1
City: Vero Beach State: Fl
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 GCGO57311
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.