HomeMy WebLinkAboutBuilding permit applicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date
Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Commercial
PERMIT APPLICATION FORREMO®EL
PR'O'POSED IMPROUEMYENT.LOCATIION;
Address: (W4 1-11bibUU5 KU- F 1. PIERCE, FL. 34951
Property Tax ID #: 1301-605-0207-000-5
Site Plan Name:
Project Name:
Residential X
DETAILEDDF-SCRI�PTIsO,N OF 1NOR;K
g e? ✓r','vr v� �akln�ooa�
bar sc k r coin n+er'- 4 -op �«6c- e�yl - zKrn i r o01'Yl
New Electrical Meter Second Electrical Meter
Lot No. 7
Block No. 48
CONSTRU,CTIO.N INjFOIRiMATI�ON
Additional work to be performed under this permit- check all that apply:
_Mechanical _ Gas Tank —Gas Piping _ Shutters Windows/Doors _ Pond
Electric Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 161 r Utilities: —Sewer —Septic Building Height:
OV1/'N,E R%LES`SiE E.
CONTRAiCTO R
NameTERRY AND KATHLEEN BLUM
Name.JEREMIAH JOHNSON
Company:JBR EXTERIORS, INC
Address:7904 HIBISCUS RD
City: FT. PIERCE, FL State: _
Address: 1201 SW BILTMORE ST.
Zip Code: 34951 Fax:
City: PSL State: FL
Phone No. T I Z - 3 31' 4 o! 35
Zip Code: 34983 Fax:
E -Mail:
Phone N0772-873-0600
Fill in fee simple Title Holder on next page ( if different
E -Mail info@jbrexteriors.com
from the Owner listed above)
State or County License CBC1260687
••---•-•� �• ""••��•�• •w•• •a �aww w1 IIIwIC, d RG\.VIRIJCL! IVUE[Ce OT Lommencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
�.p..Me rM-*vu 9; 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 your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, l 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 jobsite
before the first inspection. If you intend to obtain financin c It . h I
commencingwork or recordingour Notice of Commencement.
%J"au wlt ender or an attorney before
Signature f Owner/ Less /Contractor as Agent for Owner
Signature of C ntractor/Lice a Holder
STATE OF FLORIDAS�I -
COUNTY OF '�,� (} le
STATE OF FLORID
COUNTY OF_ C ( e
The forgoing instrument was acknowledged before me
this--�dday of ';`u Ae 20 `�p by
The forgoing instrument was acknowledged before me
this day of Q(Ad1e 2p 2O by
Name of person making statement
Personally Known_ OR Produced Identification
Type of Identification
Prod
Name of person making statement
Personally Known_ OR Produced Identification
Type of I tiffcation
Prod ed
otary Public State of Ida
(Signatu ota pahfc (jl °�o 020s7a
oFpo Rplres 08f4 0
Commission No. Sja
blic State of Florida
(Signat r Pd .9b )
a My Comms
Commissio N �Xpires 08!1612020
oFF. a
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
RECEIVED
DATE
COMPLETED
tev. 8/2/17