HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
O �
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT TYPE:
n_b,SED'IIVIPROVEMENT LOCATION:
Address: 2002 NW ROYAL FERN CT
Property Tax'ID#: 4425-605-00.15-000-2 Lot No.
Site Plan Name: Block No.
Project Name: RAYMOND T. &BONNIE L. DEEGAN
DETAILED bESCRIPTION
CONSTRUCTION,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:$ �{7`�•�� Utilities: —Sewer —Septic Building Height:
CrWNER/LE SSE,5 „. CONTRACTOR ,
Name RAYMOND T. &BONNIE L. DEEGAN Name:THOMAS ZESCHKE
Address:445 LAKESHORE POINTE DR Company:BNT SERVICES
City: HOWELL State:_ Address:1313 NW 65 PLACE SUIT(1
Zip Code: 48834 Fax: City: FT LAUDERDALE State:FL
Phone No. Zip Code: 33309 Fax:
E-Mail: Phone No954-233-0126
Fill,in fee simple Title Holder on next page(if different E-Mail PERMITING@BNTIMPACT.COM
from the Owner listed above) State or County License SCC131151154
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 UEN 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 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 YOUR NOTICE OF COMMENCEMENT."
Signature of Owner/Lessee/Contra or as Agent for Owner Signature of C ntractor/License Holder
STATE OF FLORI A STATE OF FLORIDA
COUNTY OF �Q.r�1�'� (,llrn2 COUNTY OF Soyoif Lyc,�t
The forgoing instrumeJr was acknowledged before me The forgoing instrument was acknowledged before me
this_�& day of 20 JJ by this V day of 7CVN 20 D-L by
` �►'l 4S ZQJGI� —
Name ot person making ssttatement. Name of person making statement.
Personally Known OR Produced Identification Personally Known a✓ OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Sign re of Wiry Public-State°,tp4tcda) ALEXANOERHUYNH (Sign re of Notary Public-State of FI � ALEXANDERMU
:At _§v
' CYNI
ommission#GG 354059
Commission No. Se@klolresNovember11,202 Commission No. I)Commisslon#GG3 9
Expires November 11 2 3 UruuLnllhnrNwlgnlNoWry9nlvlce y�urfv(V� finuilm I I hi it tholgot NotarySon I oo
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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