HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE CC:: `'1ETED FOR APPLICATION TO BE ACCEPTEW
Date: 1a`v;'\ \-\ Permit Number: \c\1
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
" � ��15� RECEIVED
Building Permit Applicatio DEC 1 8 ^�t9
ST, l.ucle County, Permitting
Commercial Residential
PERMITTYPE: V,,v.o Jd �r\ av�
J?,ROPOSED IMP.ROV,.EMENT, LO(ATION:,
4006 Avenue P. Fort Pierce Florida 34947
Property Tax ID #: 2405-601-0306-000-9
Site Plan Name: 4006 Avenue P
Project Name: 4006 Avenue P
Lot N0.18 &1/2 of 19
Block No. 16
.DETAILED`DESCRIPTION-OF'WORK.;>
Install new kitchen cabinets, renovate the bathroom, install new vinyl plank flooring, replace a window adjusted doors
Ccaa_ f.e'8R,
l'CONSTRUCTION'INFORMATION----'-'
Additional work to be performed under this permit —check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters X Windows/Doors
Electric X Plumbing _Sprinklers
Total Sq. Ft of Construction:
912
Cost of Construction:$ �000.Od
Generator Roof Pitch
Sq. Ft. of First Floor: 6
Utilities: _Sewer _Septic Building Height:l8'+/_
R.,.Po�, wr.., P,t
OWNER/LESSEE:' ;
CONTRACTOR:
Name Jacques Reqiste
Name:
Address: 1427 N Bronough St
Company:
City: Tallahassee State: FL
Zip Code: 32303 Fax:
Phone No. 850-544-1402
Address:
City: State:_
Zip Code: Fax:
Phone No
E-Mail: registel@renq.biz
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail
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 CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name: -
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
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.
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 ermit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or an9covenants 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 NOTICE OF COMMENCEMENT."
Signa caner a e4tontractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLOR DA
STATE OF FLORIDA
COUNTY OF 5� , o ��
COUNTY OF
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
thisN"�, day of �m c 20jI by
this _ day of .20_ by
Ja,C4 Je'S - 5-V9
Name of p rson making statement.
Name of person making statement.
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
YrA, h L
Produced
`PPrroododucedd-
(Signature of Nota ublic- State of FI s
F
(Signature of Notary Public- State of Florida )
M�t�E 001FJV
�ON 83G 0^202a ;
Commission No. GG 3 MY Cc t.
Commission No. (Seal)
t10.202o
�. •i+e �CPIRES: Decembe Undonniter. ���}.
cr PuN�...
dThiu NotaN �:.a::::i
°: `•
or
REVIEWS
FR
ONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 2/7/19