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HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 11 / C4J Date: 1.30.20 PermitNumber:� Olx' IIOI RECENED Building Permit Application FEB 06 2020 Planning and Development Services Permitting Department Building and Code Regulation Division St. Lucie County 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential XXX PERMITTYPE: Exterior Siding. Replacement PROPOSED INIPROVEMENT;LOCATION: Address: 5103 Indian Bend Ln PropertyTax ID#: 1312-800-0019-000-3 Lot No. Site Plan Name: Albert & Gale Parmentier Block No. Project Name: Albert & Gale Parmentier DETAILED DES0RIPTI0N'9F WORK: g. i• ' ' Replace Rotted and deteriorated Wood Siding with 4x8 Sheets of Hardie Siding and Trim CONSTRUCTIONINFORMATIO`N: Additional work to be performed under this permit — check all that apply: _Mechanical _Gas Tank _Gas Piping _Shutters —Windows/Doors _Electric _Plumbing _Sprinklers Total Sq. Ft of Construction: Cost of Construction: $431 016_00 Generator Roof Pitch Sq. Ft. of First Floor: Utilities: _Sewer _Septic Building Height: OWNER/LESSEE:! %I' CO1NT,RACTOR a ,. Name Albert & Gale Parmentier Name: Adam A Ogilvie Address: 5103 Indian Bend Ln Company:Thompson's Remodeling & Home Repair, Inc. Address: P.O. Box 430 City: Fort Pierce, FI State: _ Zip Code: 34951 Fax: Phone No.772-979-2543 City: Vero Beach State: FI Zip Code: 32961 Fax: 772-564-6760 Phone No 772-564-8008 E-Mail: Fill in fee simple Title Holder on next page (if different from the Owner listed above) E-Mail michelle@thompsonsremodeling.com State or County License CGC1528411 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. I' SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: Name: Address: City: State: Zip: Phone MORTGAGE COMPANY: ✓ Not Applicable Address: City: State: Zip: Phone: FEE SIMPLE TITLEHOLDER: _Not Applicable I BONDING COMPANY: Name: Address: City: Zip: Phone: Address: Zip: Phone: Applicable 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 Countyy makes no representation that is granting a permit will authorize the permit holderto build the subject structure which is in contlict 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 accessary 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 vnnD I FeInFR nR AN ATTnR111FY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Signature of Owner/ Lessee/ContraR or as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIA STATE OF FLORIDA COUNTY OF ueLI� //r1�-r — COUNTY OF The forging instru nt was acknowledged before me The forgoing instrument was acknowledged before me this 20Z4 by this _ day of 20_ by /Il54dayof � �QyGvr.rn��✓ _/7 Name of person making statement. Name of person making statement. Personally Known Z/ OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identification Produced Produced (Sig atur (Signature of Notary Public -State of Florida ) "•^�'6, RAVINA MICHELLE BARKLEY :•:a:^..NA, Commissi ESN. :•:Commission#GG174094 (Se all Commission No. (Seal) :,j;POF..o:`•;• Expires February 3, 2022 •.••' Goaded Thm Troy Fain lasumnma REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 2/7/19 I"SUPKP�LE�ME<��TP;Lf(C£ONSTR'U`C�ITIONYLIENi1LyA�W/�INE,©RIVI%1TION M "v_ I DESIGNER/ENGINEER: xxx 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 madeto 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 represer tation that is granting a permit will authorize the ermit holder to build the subject structure which Is In conflict with any applicable Home Owners Association rules, bylaws or andpcovenants 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 NOTWX-4)F COMMENCEMENT." 0➢ STATE OF FLORIDA COUNTY OF as The forgoing instrument was acknowledged before me this _ day of 20_ by STATE OF FLORIDA COUNTY OF I P��:r_ 12: see./ The forgoing Instrument was acknowledged before me this '� day of G 6roa ^j 20 -0 Name of person making statement. Name of person maaWng statement. Personally Known OR Produced Identification _ Personally Known )J OR Produced Identification Type of Identification Type of Identification (Signature of Notary Public -State of Florida) I (-S gn ture of Commission No. (seal) REVIEWS I FRONT I ZONING COUNTER REVIEW Commission EXPIRES: SUPERVISOR I PLANS I VEGETATION I SEATURTLE REVIEW REVIEW REVIEW REVIEW # GG 285237 17TI[4idy