HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 8 090 Permit Number: dOOy — 0 k68
RECEIVED
APR 15 2020
Building Permit ApplicationPermitting Department
Planning and Development Services St. Lucie County
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT TYPE: Deck
PROPOSED IMPROVEMENT LOCATION:
Address: 216 Smallwood Ave., Fort Pierce, FL 34982
Property Tax ID#: 3403 - Sog-o13`i -000-o
Site Plan Name: John Williams House
Project Name: Deck
DETAILED DESCRIPTION OF WORK:
Installation of decking around above ground pool.
CONSTRUCTION INFORMATION: 9
Additional work to be performed under this permit -check all that apply:
Lot No.Ll
Block No. 7
_Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors
_ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $ Co 7 8d. 0?S
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE;
CONTRACTOR:
Name John Williams
Name:
Address:216 Smallwood Ave.
Company:
City: Fort Pierce State: _
Zip Code: 34982 Fax:
Phone No. 772-579-7305
Address:
City: State:_
Zip Code: Fax:
Phone No
E-Mail: scubajobert@msn.com
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.
SUP PLEN4ENTALACONSTRU,CIlON
LIEN lAWaINFOR
I .zT 0W , ' z ; ;a, ,
DESIGNER/ENGINEER: _
Name: lip, _3An,n
Not Applicable
PE
MORTGAGE COMPANY: _
Name:
Not Applicable
Address: Sore "bet,.. N r� A%&e.
Address:
City: a—t-. O; deco
Zip: 34G50 Phone 77� -0��7
State: �i_
—134q
City:
Zip: Phone:
State:
FEE SIMPLE TITLEHOLDER: _
Name:
Not Applicable
BONDING COMPANY: _Not
Name:
Applicable
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 Counttyy 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
"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 FLORIDA
STATE OF FLORIDA
COUNTY OF sb Luue
COUNTY OF
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this day of +, 20�by
this day of 20_ by
Jokrt l i
Name of person making statement.
Name of person making statement.
Personally Known _,Z OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signatur f t>4 }licb,"A?!4F¢itiftorim"
(Signature of Notary Public -State of Florida )
Cindy Lou GaNner
Mr Ca MWIMG
Commission N d. a■areee.lp3IMPa
1AA A]
Commission No. (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 2///l9