HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE CGmriETED FOR APPLICATION TO BE ACCEPTI I
Date: Mpw (� 5 _7 n-? 00 Permit Number.
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Building Permit ApplicationMAR 0 5 2020
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 X
PERMIT TYPE:
PROPOSED IMPROVEMENT LOCATION:
Address: 18704 KITTY HAWK CT
Property Tax ID #: 3215-001-0031-000-4
Site Plan Name: BEERS
Project Name: BEERS - PLAN B
Lot No. 2
Block No. 2
DETAILED DESCRIPTION OF WORK:
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CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
_Mechanical
_ Electric
Gas Tank
I
_ Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 3 ra OO
_ Gas Piping _ shutters
Sprinklers _ Generator
Sq. Ft of First Floor: _
00 Utilities: _Sewer _Septic
Windows/Doors
_ Roof Pitch
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name DUNE BEERS
Name: RYAN C GAYLORD
Address:18704 KITTY HAWK CT
Company: PREMIER CONSTRUCTION SPECIALITIES, INC
City: PORT ST LUCIE State: _
Zip Code: 34987 Fax:
Phone No.772-595-30161
Address-3404 SE 3RD COURT
may: BOYNTON BEACH State: FL
Zip Code: 33435 Fax:
Phone No 561-574-7802
E-Mail:
Fill in fee simple Title HoI lder on next page (if different
from the Owner listed above)
E-Mail KIM4SONNYSCREENS@GMAIL.COM
State or County License CGC-1517640
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 CONSTR., ON -LIEN LAW INFORMATION:.,u
DESIGNER/ENGINEER: _ Not Applicable
Name: ESmn MMMY ENGM EiMG
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 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 Iyour 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 CONIRIEMCBtfENT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROYEgIENTS TO YOUR PROPERTY_ A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. EF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENC ENT."
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signaturece s Holder
STATE OF FLORIDA !
STATE OF FLORIDA
COUNTYOF_ Pal rn R>Pnnh
COUNTYOF &Ilan Rpne'k
I
The forgoing.. was acknowledged before me
The forgoing instrument was acknowledged before me
this Lia"day of /Niarril 20,W by
this -'!Hay of / io�rrh 20,2Q by
June 13=a
'R"n n 0 n., i nrA
Name of person making statement
Name of 6erson rivalsirsh statement
Personally Known OR Produced Identification ✓
Personally Known OR Produced Identification ✓
Type of Identification
Type of Identification
Produced t"i_ hi._
Produced I L c7t_
iJr �4j.. CHRISMPHERFOSTER
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gnature` of Lary Public- S Commission X GG 9562�1
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Publi• State 5 F
ture of Lary Public -!State f , �..' Notary Commission
' `ea`: Commission F GG 956
or c. M Comm. Expires Feb 6, 20
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REVIEWS
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SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER I
REVIEW,
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
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