HomeMy WebLinkAbout Building Permit Application I
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: ® oc�6
-
Building Permit Application
P,!arming and,Development Services
Building and Code.Regulgtion Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential x
PERMIT TYPE:
r,PROPOSE61MPROVEM ENT-LOCATION•
Address: 354 johnston street ft'pierce fl 34982
roperty Tax ID#: •Jy.b —��-OrJ�� `b��—� Lot No.
Site Plan Name: Block No.
roject Name-
I DETAILED DESCRIPTIONA.OF WORK
drywall replacement eSs
I
CONSTRUCTION INFORMATION",- r:
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:$ 1500.00 Utilities: —Sewer _Septic Building Height:
.6V1/NER/L CONTRACTOR
Name stella hunter Name:
Address:354 johnston street Company:
City: ft pierce State:T Address:
Zip Code: 34982 Fax: City: State:
Phone No.772-216-5122 Zip Code: Fax:
E-Mail:stellahunter82@gmail.com Phone No
Fill in fee simple Title Holder on next page(if different E-Mail
from the Owner listed above) 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.
SUPP_,... F , ..'ORMATION F J r
LEMENTAL CONSTRUCTION
DESIGNER/ENGINEER: _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 made to obtain a permit to do the work and installation as indicated.
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.
�he 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 NOTICE OF COMMENCEMENT."
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIQ STATE OF FLORIDA
COUNTY OF � ���Q 2 COUNTY OF
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of 20cby this day of ,20_ by
Name of person making statement. Name of person making statement.
Personally Known ✓ OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced Produced
IV17',0A'
(Signs re of No a ublic-State of Florida) (Signature of Notary Public-State of Florida)
Commission No. :t ``.°�84., (SA STER J.EDWARDS Commission No. (Seal)
W
Nbotary ublic-State of Florida
Commission#GG 286127
Banded throug i National Notary Assn
REVIEWS FRONT PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.2/7/19