HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COmrcETED FOR APPLICATION TO BE ACCEPMEu
Date: 17.' 1 I' I Permit Number: I
CpszREC(;dVf=b
Building Permit Applicatio DEC 1 9 z0i9
Planning and Development Services sT. Lucie County, Permitting
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT TYPE:
PROPOSED IMPROVEMENT LOCATION:
4006 Avenue P. Fort Pierce Florida 34947
muur ebs
Property Tax ID #: 2405-601-0306-000-9 Lot No.18 &1/2 of 19
Site Plan Name: 4006 Avenue P Block No. 16
Project Name: 4006 Avenue P
DETAILED DESCRIPTION OF WORK:
Repair stairway and reconstruct deck to meet the building code and loading requirements
I CONSTRUCTION INFORMATIONS
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 _ Generator _ Roof Pitch
Total Sq. Ft of Construction: 912
Cost of Construction: $
Sq. Ft. of First Floor: 60
Utilities: _Sewer _Septic Building Height:18'+/
OWNER/LESSEE:
CONTRACTOR:
Name Jacques Registe
Name:
Address: 1427 N Bronough St
Company:
City: Tallahassee State: FL
Zip Code: 32303 Fax:
Phone No. 860-544-1402
Address:
City: State:_
Zip Code: Fax:
Phone No
E-Mail: registelCa)_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 TITLEHOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby madeto obtain a permitto 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 anU 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
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."
as Agent for Owner
STATE OF FLORIDA
COUNTY OF 5 , %. o
The forgoing instrument was acknowledged before me
this l Z day of 'QQ c 20jl by
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF .
The forgoing instrument was acknowledged before me
this _ day of , 20_ by
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
Produced �EL h Produced
(Signature of Nota ublic- State of FI —' i`• (Signature of Notary Public- State of Florida )
NMAmogGIN
Commission No. GC* . ''a co�wlfiNr G .,.6V i
r � �I�s.oex u+SEw� �f Commission No. (Seal)
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