HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: V Permit Number:
=RECEIVEDBuilding Permit ApplicationPlanning 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:Siding
-PROPOSED IMPROVEMENT LOCATION:
Address: 5600 Birch Drive
Property Tax ID#: 3402-609-0194-000-8 Lot No.16
Site Plan Name: Block No. 57
Project Name:
DETAILED DESCRIPTION OF WORK:
>
Siding
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:
dG
Cost of Construction:$ cgloav Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE: CONTRACTOR: ',
Name Bally Bunion Group Name:Gary Whigham
Address:8721 Bally Bunion Road Company:South Florida Aluminum Products
City: Port St. Lucie State:71��— Address:4807 So US Hwy 1
Zip Code: 34986 Fax: City: Ft. Pierce State:FL
Phone No. `7 7 Z,—Zs /-2—c& Zip Code: 34982 Fax: 772-466-1074
E-Mail: Phone No 772-466-0913
Fill in fee simple Title Holder on next page(if different E-Mail sfapbooks@soflalum.com
from the Owner listed above) State or County License CRC1330712
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.
SUPPLEMENTALCONS RUCTION LIEN LAW'INFORMATION:
DESIGNER/ENGINEER• _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: 1v Address:
City: State: City: State:
Zip: Ph ne 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 thepermit 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 ULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCE MUS BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTE TO OBTAIN INANCING, CONSULT
WITH YOU NDER RNEY BEFORE RECORDING YOUR NO OF COMMENCE ENT."
S of Owner/Lesee ntractor as Agent for Owner Signa re of Con /Li a Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF Sc.LuGe COUNTY OF St.i_uaie
The forgoing instrument was acknowledged before me The forgoing instrument was acknowled d before me
this 13th day of February 20ol by this 13th day of February 2QN0 by
Gary Whigham Gary Whigham
Name of person making statement. Name of person making statement.
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Signat e,q$ taryPul;WOy�W"6fprida (Signatur o
�; `- Notary Public State of Florida :4'. +BY ANN MATD
Commis o` Commission#GG 938390 5 NotaryPublic-State
omm. Jan 24,2bZe4 Commission Ston x GG° y ' My Comm.Ex ireBanded through National Notary Assn. Bon P s Ja
tional Nataij
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.2/7/19