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HomeMy WebLinkAbout12201902All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 12/16/19 Permit Number: . Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Building Permit Application PERMIT TYPE: PROPOSED IMPROVEMENT LOCATION: Address: 5716 Birch Drive, Fort Pierce FI 34982 Property Tax ID #: Site Plan Name: Project Name: DETAILED DESCRIPTION OF WORK: Commercial Residential X T-111 siding removal and replacement, stud replacement where needed and insulation replacement where needed, CONSTRUCTION INFORMATION: Lot No. Block No. 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: 998 Sq. Ft. of First Floor: 998 Cost of Construction: $ 2450 Utilities: —Sewer Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Kevj Name: Jose Francisco Suazo Address: S7/6 giky Dwve Company:Epic Construction Group Inc City: Faf 1eieC State: k Zip Code: 3gitz Fax: Phone No. Slal- 9y1� Address:19390 NW 87th Place City: Hialeah State: FI Zip Code: 33018 Fax: Phone No 813-510-9588 E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mailjfsuazo@epicconstructiongroup.com State or County License State of FI CGC1516529 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 INFORMATION: 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 Homeowners Association rules, bylaws or and covenants that may restrict or such prohibit 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, 1 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 WrrH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOXICE OF COMMENCEMENT." Slgna re-ofrff-df Owner/ Lessee/Contractor as Agent for Owner Si ontractor/License Holder STATE OF FLORID � �� TE OF FLORIDA-) , COUNTY OF d 6;, /n d? f « C UNTY OF a //2? hl 4 �GI The forgoing instruTent was acknowledged before me The forgoing Instru ent was acknowledged before me this 1Z day of /'F e ( I - ,— 20 1 `' by this day � . .LL of 20/ 4 by I Name of person making statement. Name of person making statement. Personally Known I/. OR Produced Identification Personally Known l"�- OR Produced Identification Type of identification Type of Identification Produced Produced (Signature o Nota Public- Stile F `. e g re of N© ary Public- State of Flo d' P �. Notary Public Commission No. 7 6 Notar Publfc� Sta Y - Commission N GG _?� �`..... f Fiorldaa ��11,1�,,� Sinn NO. `�( ,�% "' 0 � -- . � i ,' - `. P.i Commission ' � -.• My Comm. Expires la G YComm. Ex ides Nos�1j, ..., eonew through National N ;� ary Assn, ...,, Bonded through Natlex al REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE -- - RECEIVED DATE COMPLETED eV. Ez of Florida 276113 v 13, 2022 olary Assn.