HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: Q
RECEIVED
•
_ MAR 17 2020
Building Permit Applicati n
Planning and Development Services ST. Lucie County, Permitting
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential x
PERMITTYPE DOOR
PROPOSED IMPROVEMENT LOCATION.
Address: 914 BUCKEYE' DR. FT. PIERCE, FL. 34982
Property Tax ID#: 3404-501-0533-000-2 Lot No.
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK
INSTALL( 1 ) FRONT ENTRY DOOR
CONSTRUCTION]NFORMATION:
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:$ 1,200.00 Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE; CONTRACTOR:
Name ELINOR MULLINS Name:JEREMIAH JOHNSON
Address:914 BUCKEYER DR. Company:JBR EXTERIORS.COM
City: FT. PIERCE, FL State:_ Address:1201 SW BILTMORE ST.
Zip Code: 34982 Fax: City: PSL, State:FL
Phone No. Zip Code: 34983 Fax:
E-Mail: Phone N0772-873-0600
Fill in fee simple Title Holder on next page(.If-different E-Mail info@jbrexteriors.com
from the Owner listed above) State or County License CBC 1260687
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 CONSTRUCTlOiVrLt;EN LAUU INFORMATION
DESIGNER/ENGINEER: _ of Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
I-,
FEE SIMPLE TITLE HOLDER: __Not Applicable BONDING COMPANY: t 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.
5t.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 jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording our Notice of Commencement.
Signature/ f Owner/Less /Contractor as Agent for Owner Signature of C6ritractor/Licerigie Holder
STATE OF FLORID STATE OF FLORIDA
COUNTY OF Lam+� COUNTY OF , '/C
The forgoing instrugent was acknowledged before me The forgoing instrument was acknowledged before me
this_4 day of 2Q1± by this 4day of_1111WA .202-o by
Il��ll�n ���/w9Cn✓1 �1P�tUNfC� �7'cUiylfcr+�
Name of person making statement Name of ers n making statement
Personally Known�OR Produced Identification Personally Known OR Produced Identification
Type of Identificati Type of Identification
Pro ced Produced
6gnaof Notary blic-S e f ( 't natur ublic-State of Florida)
Comm si t4Y Notary Public State of Florida(S I) Commissi
t6oF--�a g}rafte Alberico. o�►�►�i�State of Florid
`!I'lMy Commission GG 020879 : Joshua Shane AlberiC0
Expires 08!16/2020 c My Commission GG 020879
OF REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17