HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED II l
Date: l(7 `7� Permit Number: QQ 1 Q lQ I .
_ JAN 1-0 2019-
Building Permit Application _
Planning and Development Services :;}': Sfi. Lucie County, Permitting
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982 -
Phone:_(772)462-1553 ,Fax:(772)462-1578., Commercial ReslClerltial
PERMIT TYPE: ��
PRdPOSED'IMPROVEMENT°LOCATION
Address: 3407 Ave-0
Property Tax ID#: 2405-601-0381-000-8 Lot No.. .
Site Plan Name: Block No.
Project Name:.
DETAILED DESCRIPTION`OF WORK:
FCQNSTRUCTION 'INFORMATION: .
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:$ '410 o Utilities: _Sewer Septic Building Height:
'OWNER/LESSE`E: CONTRACTOR:
Name Affordable Housing Of Florida LLC Name: Eric Letoumeau
Address-130 Box 1506 Company: WirenutZ Inc =
City• Fort P.ierce,,;,,.,., �a> � State:_ Address: 3504 Fontarteda,Aver
Zip Code:.34954,f,- Fax: City: Fort Pierce.',,, State FL
2161565.' 3494.7
Phone:No.772Zip Code: rax:
E-Mail: Phone No
772,-466-0500"r". '.,,"",,`.-_-`
Fill in fee simple Title Holder on next page_ (if different : E-Mail Wirenutzinc@aol:com
from the Owner listed above) State or County License EC13005517
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,LEM,ENTALCONSTRUCTION LIEN.LAW:I.NFORIVIATION:
-
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 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 LE DER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Signature of Owner/-Lessee/Co tractor as Agent for.Owner Signature of Contractor/Lic nse Holder
STATE OF COUNTY OF COUNTY
FLORIDA
i �/ - COUNTY OF
The forgoing instru nt was acknowledged before me The forgoing instrument was acknowledged before me
this�t"'day of,� —I 20"by this (rilday o J • -. ' 2020 by
1 l I
�,r a c. -4%.>!
Name of person making
/statement. Name of person making statement.
Personally Known X OR.P.roduced Identification Personally Known 7 J OR Produced Identification
Type of Identification'' Type of Identification-__
Produced Produced
(Signature of Noirary Public-State of Florida) (Signature of Nota P
f4.Tdlf
ta s� tate of Florida Notary Public State of Florida
Commission No.I 'jSNotary
�.. '�� Commission No. I SS Chris L y
ris L WOoiley, a pd� My Ces P26/ 22 185665
Commission GG 185665
ires 02/26 022
-REVIEWS FRONT - ZONING 'SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER `REVIEW. REVIEW, REVIEW` REVIEW.. REVIEW REVIEW
DATE
RECEIVED -
DATE. -
COMPLETED
ev.2/7/19