HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �1 p
Date: •� Q' V Permit Numba�vvo
UR I ra -P
FEB 1 0 2020
- - - Building Permit Appli ation
Planning and Development Services Permitting D ep
a1`tiCCt
Building and Code Regulation Division St. LUcie COu n L FL
2300 Virginia Avenue,Fort Pierce FL 34982 ��
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT TYPE:
PROPOSED IMPROVEMENT-LOCATION:
Address: 9309 S INDIAN RIVER DR, Fort Pierce
Property Tax ID#: 3519.441-0002-000-1 Lot No.
Site Plan Name: Block No.
Project Name: Mark Fick
DETAILED DESCRIPTION '4PWORK
Remove liner pool and fill
CONSTRUCTION INFORMATION: a
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: lP®O Sq. Ft.of First Floor:
Cost of Construction:$ 1,900 Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE ; ' CONTRACTOR
�. ._
Name Mark Fick Name:John O'Connell
Address: 9309 S Indian River Dr Company:John O'Connell, Inc.
City: Fort Pierce, FL State:_ Address:11005 W Midway Rd
Zip Code: 34945 Fax: City: Fort Pierce, FL State:
Phone No. 9364433403 - Zip Code: 34945 Fax:
E-Mail: Phone No 772-332-3393
Fill in fee simple Title Holder on next page(if different E-Mail johnoconnelidemo@bellsouth.net
from the Owner listed above) State or County License 22089
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.
S.UPPLEIVIENTALOONSTRUCT�ON LIEN LAW INFORMATION f�, � � ,r
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."
7
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of 20_ by this day of 20_ by
a �gfe_rjon akinbstat�ment. 1 ' m��ehhof��person king statement.
Personally Know OR Produced Identification Persort3lfylCnow G 0 OR P od c d Identification
Type of Identifica 'o n Type of Identificat�
Produced • �C/� L Produced
(Signature of Not P -State of o i (Signature of Naft Public-State
n.'. AUDREY HU PHREY AUDREY B HUMPHREY
Commission No. 47""N Commission N YP` a: #(6@ 817
ISIGG 300817 MMISSION 2023
P' EXPIRES:March 6,2023 °�= pCPIRES:March 6
k•. ..oP` - iPc
REVIEWS FRONT ZONING SUPERVISOR PLANS VE SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Kev.2/7/19