HomeMy WebLinkAboutBuilding permit applicationAll APPLICABLE. INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED '
Permit Number: Date
Planning and Development Services
Building and Code Regulation Division
2300 Virginia /Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
1 PERMIT TYPE: DEMO PERMIT
I PROPOSED IMPROVEMENT LOCATION:
Add ress: 6603 South Indian River Drive
Property Tax ID #: 3412-141-0002-0002
Site Plan Name:
Project Name:
Building Permit Application
DETAILED DESCRIPTION OF WORK:
Commercial Residential x
Lot No.
Block No.
- DEMO REAR CARPORT ROOF, INTERIOR WOOD WALLS, TRUSSES & BEAMS AND ALL NON BLOCK ELEMENTS
CONSTRUCTION INFORMATION:____
Additional work to he performed under this permit —check all that apply:
Mechanical
Electric
Gas Tank
Plumbing
Total Sq. Ft of Construction: 640
Cost of Construction: $ 2400
Name Kenneth VVortenberg
5791B NW 15th Address:Street
Co: Miami Lakes
Zip Code: 3 314
Phone No. 3055275858
Ema il:kwcpa acpas.com
Fax:
Gas Piping Shutters
Sprinklers Generator
Sq. Ft. of First Floor:
State:
rr,r Windows/Doors
Roof Pitch
Utilities: Sewer Septic Building Height:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above
, CONTRACTOR:
; Name: Chris Quinn
corn an :Luxury Renovations & Additions
Address;640 SE Monteiro Drive
City: Port Saint Lucie
Zip Code: 34984
Phone No 361-719-97°9
E_m a ii info@luxreno.org
State or County License C C7 C— / 6013657
State; FL
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.
Fax:
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Name:
Address:
Not Applicable MORTGAGE COMPANY:
Name:
Not Applicable
Address:
City: State: City:
Zip: Phone Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY:
Name: Name:
Not 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
WITH YiOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT?'
i ,
.
,L 4, , , A.-
Signature ofkontractor/License RoPler
STATE OF FLORIDA — -
COUNTY OF Martin County
Signatur of Owner/ LesseeiContt‘ctor as Agent for Owner
STAIIOF FLORIDA -
COUNTY OF Martin County
The forgoing inst nent was acknowledged before me
this J2 -day of -Lt.:C.4) e.,C.a_ , 201-0 by
The forgoing instwrient was acknowledged before me
this 6 -day of'1 y u 1:. i t , 20,ryj by
.
Name of person making statement.
Personally Known OR Produced Identification K ;
Name of person making statement.
Personally Known OR Produced Identification y
Type of Ide f icat n:,
Produced '‘(-t - -;.- l--) 2 (stf Type of Ider4ljcation '
Produced 1 { 0 d _4,---i ,? s t_ec ee„) e—
---irk
_
74-------------
(Signature Nota y Public- State of Florida )
Commission No.GC-K.51/ 45.-- ” .0y,iealiporiene Edlund-Chel
(Signature of No Public- State of Florida )
Commission Noa ,.,.-E-,mceL; orlene Edlund-Ch C•:(/ i if
l'atY4:2 NOTARY PUBLIC
%STATE OF FLORIDA
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