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Home My WebLink AboutBuilding permit appPlanning and Development Services 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: Address: 0", Property Tax ID#: Iq'& --)0 'i%1C7 'dLot No. Site Plan Name: ) e, n' D)'"Gy ►c- t- Block No. ? Project Name: DETAILED DESCRIPTION OF WORK: 'S M- ICc CONSTRUCTION INFORMATION: Additional work to be performed under this permit - check all that apply: Mechanical Electric Total Sq. Ft of Construction: Gas Tank Plumbing Gas Piping _ Shutters Sprinklers — Generator Sq. Ft. of First Floor: Windows/Doors Roof Pitch Cost of Construction: $ I, �?GU , cp i Utilities: —Sewer —Septic Building Height: OWNERAESSEE: CONTRACTOR: Name �C.n ► y f l I.,IL h../ Mr �'-ccs, c Q. Name: JAMES D. DAVIS Address: a 7© -7 IJ PI �Jn• Z Company: J&G CARPENTRY, INC. City: r �` IF C�G� State: Zip Code: 3 `-i'. Ci `19 Fax: Phone No. -?c) '33 � _.ay O E -Mail: I1;111lM"'�i;irZ(2) %f4-.neI Address: 13461 79TH CT. N. City: WEST PALM BEACH State: FL Zip Code: 33412 Fax: 561-855-4054 PrioneNo � -'7-.,Z-2_'E,' 7`712 Fill in fee simple Title Holder on next page ( if different from the owner listed above) E -Mail �bZ�-Ge':L+'�� i i'x " wf'�- (� State or County License CGCO22831 If value of construction is !�zsuu or more, a Ktwnutu rvUuLe V. - � _ 1— If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: X Not Applicable MORTGAGE COMPANY: f" Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: Name: Address: City: Zip: Phone:_ V Not Applicable BONDING COMPANY: Name: Address: Citv: Zip: Phone: _Not Applicable OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the worK and Instanavon as Inalcaieo. 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, 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 •.r.-�nnuio- vn"n iunTlf C nC f AMMFNfFMFNT_°7 T111 h T UUK LCIrLJCK %JM 1419 .a • . v•v.� • - -- ---- --- - --- - - - Signature of Owner/ Lessee/Contractor as Agent for Owner ature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF 1 �c<< c . �+V� Y COUNTY OF PALM BEACH The for oing instrum nt was acknowledged before me 'L� 20 Z0 by The forgoing instr ment was acknowledged before me this day of U rN 2 , 20ao by this day of , _3L 1 p, 1; r ty\ C Gut-, r -,?— JAMES D DAVIS Name of person making statement. Name of person making statement. Personally Known OR Produced Identificati `,k Illlif�� Eof sonally Known x OR Produced Identification identification Type of Identification `�\ Q� Qf�- t C� Produced ``��P.•••.•••'.... v� eroded ''' • =o:a° � - ( g ture of otary Public State of Florida) :• otie of N rye , , t�e�_tate NO UGWOUNG i �.• �� •• P Q�:• ��` * * Commission # GG 968864 624 ommission No. ��1705 (e(� (Seal) •••.• m�x�ssion No. N�' Expires Ap6M ',1,'9TATE \\\` rFOFF�OQ BandedTlvuBudget Notary Services REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Kev. z1 i/ J_7