HomeMy WebLinkAboutHernandez-ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Planning and Development Services
Building and Code Regulation Division
1300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Permit Number:
Building Permit Application
PERMIT TYPE: Residential LP Gas
PROPOSED IMPROVEMENT LOCATION:
Commercial Residential X
Address: _ouuo vatersong vvay, I-orL merce I-L
Property Tax ID #: 2532-500-0080-000-9 Lot No. 66
Site Plan Name: Watersong Way
Block No.
Project Name: Harris/Hernandez
DETAILED DESCRIPTION OF WORK: I
I CONSTRUCTION INFORMATION: I
Additional work to be performed under this permit -check all that apply:
_Mechanical XGasTank,XGasPiping _Shutters
_ Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 7032.15
_ Generator
Sq. Ft. of First Floor:
_ Windows/Doors
Roof Pitch
Utilities: _ Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Wendy L. Hernandez
Name: Tom Fite
Address: 5008 Watersong Way
Company: Ferrellgas
city: Fort Pierce state: FL
Zip Code: 34949 Fax:
Phone No. 772-828-8288
Address: 3232 SE Dixie Hwy
City: Stuart State: FL
zip Code: 34997 Fax: 772-287-3456
Phone No772-287-4330
E-Mail: gregharrisfl(CD_gmail.Com
Fill in fee simple Title Holder on next page ( if different
from the owner listed above)
E-Mail Kim W Ikirls C@ferrellgas.com
State or County License 31370
it vame or construction is $xwu 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.
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State: _
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ Not Applicable
Name:
BONDING COMPANY: Not Applicable
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
.y . wry \ \. \ wm ^rrlwv \ \ : Appncaoon is nereoy made to odtam 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
"WARNWG 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 NOTICE nF cnMMFNCFMFNT.
Signa-turree�ooflOwner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF Martin
COUNTY OF Martin
The fp oing instr4�nent was acknowledged before me
The forgoing instrument was acknowledged before me
o
this day of 20� by
this day of YYI /1M 202�b by
I
Tom Fite
T—
Tom Fite
Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification
P ally Known V OR Produced Identification
Type of Identification ;, ,o••. KIMBERLEYL.WILKIId
ification .....�.++
Produced '"""`i:•;
MYC09.dMISSION#FFO
:•'>PYe"'. KIMBERLEY L. WILKINS
EXPIRES: Never-.W28,
,-MY COMMISSION#FF 063105
I;*:Bonded
Thru Notary Public Und='r,
, P�_ EXPIRES: Nover.,ber 28, 2021
onded Thm Notary Public Undewnters
(Signature of Nota ublic-State of Florida)
(Signature of IVtary Public- State of Florida )
Commission No. FF063105 (Seal)
Commission No. FF063105 (Seal)
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