HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED I �• 1
Date: ' ��- � Permit N
- `q - a
0
Building Permit Applicati n
NOV 14 2019
Planning and Development Services Permitting Department
;Building and Code Regulation Division St. LLI Cl e County, FL
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Demolition
PROPOSED IMPROVEMENT LOCATIQN
Address: 2023 ST LUCIE BLVD LOT 142
Legal Description: WHISPERING CREEK CO-OP(OR 1469-2744) UNIT 142(OR 2880-2077)
Property Tax ID#: 1433-504-0120-000-7 Lot No. 142
Site Plan Name: PHOTO 142 Block No.
Project Name: WHISPERING CREEK LOT 142 DEMO
Setbacks Front Back: Right Side: Left Side:
DETAILED DES:CRhPTIOOFN 1NORK.
a x
E ;
DEMO EXISTING MOBILE HOME AND REMOVAL OF DEBRI JW X t-{ `d,� MCbi I,e herrn e
dcuble
�crei-e p0A -b r�G�n
CONSTRUCTION INFORMATION
....
Additional work to be nerformed under this permit—c ec a appy:
0HVAC Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
Electric Plumbing Sprinklers F Generator R Roof Roof pitch
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 2,200.00 Utilities: Sewer Septic Building Height:
OWNER%LESSEE nCONTRACTOR "
Name WHISPERING CREEK CO-OP INC Name: GENE BRITT/CHASE PEARCE
Address: 2023 ST LUCIE BLVD Company: CHASE LAND SERVICE, LLC
City: FT. PIERCE State:FL Address: 26532 E STATE ROAD 78
Zip Code: 34946 Fax: City: OKEECHOBEE State:FL
Phone No. 815-557-1988 Zip Code: 34974 Fax:
E-Mail: Phone No. 863-447-7009
Fill in fee simple Title Holder on next page(if different E-Mail: TRDENTON88@GMAIL.COM
from the Owner listed above) State or County License: CGC1527179
if value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTIONILIEN LAW INFORMATION :
DESIGNER/ENGINEER: X_Not Applicable MORTGAGE COMPANY: C 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 permitwill 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 jobsite
before the first inspection. If you intend to obtain financing,consult with lender or an attorney before
commencing work or recording our Notice of Commencement.
ZZ:
Sidh204 of O er/Lessee/Contractor as Agent for Owner Signature of Contractor/Licenid Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF S , I LAc,'a COUNTY OF At i; �s-b'e
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of k1(�U .20-g, by this f day of Lk�&2 .20�Lq by
f�r,n d� M tA-e & se Aearcp
Name of perSDh making 46tement Name of person mm king statement
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced L 9—;5 'Q Produced
(Sign r tary Pu lic-State of Florida t r f4NoPu,blic-State Florida)
�{ •% rt e I TIFFANY RENEE Di"aEN ON $ ► ;EXpIJRMES!*%u1y31.
��FFANY RENEE D
Com ion y (COMMISSION#GO
:;_. � � eCOMMIS #GG
EXPIRES:July 31, _�� :; 1�...vTM,NMyPubkU tN►R813 `ooQ'�� BWilatm"Pubk
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17