HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COmrLEfED FOR APPLICATION TO BE ACCEPTED
Date: o --- s�0� Permit Number: 03117
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMITTYPE:
PROPOSED IMPROVEMENT LOCATION:
132 PARLIAMENT CT
muuj c».
Property Tax ID q: 1414-701-0164-000-3
Site Plan Name: N/A
Project Name: Magee Window
RECEIVED
FED 121010
Building Permit Applicatior&,,,i,
St. Luc"'nent
county
Commercial Residential xx
Lot No. H
Block No. 17
DETAILED DESCRIPTION OF WORK: i~` h'Y`�`�L'' 1p" v
AL-e- ,o4.1-& Z- 7-3 G 7, tc7ow5 rG .tea 1 �� 5
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters
_ Electric _ Plumbing _ Sprinklers _ Generator
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 17,900.00 Utilities: _Sewer _Septic
x)t Windows/Doors
Roof Pitch
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name ames M Magee
Name: On R. jackson
Address:132 Parliament
company: eapoin a ui ers
fierce
34949 N/A City: State: F�
Zip Code: Fax:
Phone No.
Queen Ann
Address:
City: HU C inSon San34949 NIA State:_
Zip Code: Fax:
Phone N�
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed' above)
E-Mail Seapoin a UI erS comcas .ne
State or County License
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 CONSTR
_U-nN LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Name:
_ Not Applicable
MORTGAGE COMPANY:
Name:
x Not Applicable
Address:
Address:
City:
Zip: Phone
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
x Not Applicable
BONDING COMPANY:
Name:
xNot Applicable
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
yWFrH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Sig ure of Own Lessee/Contractor as Agent for Owner
Hof Cont ctor/License Holder
TATE O RIDA g �_L
OUTN O F"ZIDA
COUNTY
The forgoing instrument was acknowledged before me
The for ping instrument was acknowledge efore me
this day of V'o 20�by
this 3 day of M b 2by
7 a-, 7 (^k-so''
5p0 sa cw%!
Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identificati n
Type of Identification
Produced O-L
�_k ) p
Produced_
(Signature of Notary Public-Stat f Florida)
(Signature of Notary Publid5iate of Florida )
" ELL pUGHN
"""°'�. !
to L F Notary Public
Commission No.5a7;_".
C PNo. Fi I FN VAUGHN (Seal)
P «e'.
I Commissiona GG 270079
M Commis i
9:° "t: State of Florida•NTry Public�P:
'- Commission N GG 270079
"."`
October 2
, 2022
%•+
o?w ...
My ommissi
n Ex
2
R
REVIEWS
F
P
"'"
E
MANGROVE
COUNTER
REVIEW
REVIEW
REVI
W
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.