HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
t�V.
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: DeCuir
PROPOSED IMPROVEMENT LOCATION: 2180 Nettles Blvd
Address: 2180 Nettles Blvd
Property Tax I D #: 4502-501-0183-000-7
Site Plan Name:
Project Name: DeCuir
I DETAILED DESCRIPTION OF WORK:
Fill in Screen Wall Under Existing Roof
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
X
Lot No.
Block No.
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:
Cost of Construction: $ 1600
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Pete DeCuir
Name: William Dramble
Address:2180 Nettles Blvd
Company: Coastal Aluminum Construction, Inc
City: Jensen Beach State: _
Zip Code: 34957 Fax:
Phone No. 413-537-4789
Address. 496 S Market Ave
City: Fort Pierce State: FL
Zip Code: 34982 Fax:
Phone No (772)468-0288
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail tinman2287@att.net
State or County License SLC 20128
VUR Vban IJal Ua.a-IUII q L7VV UI IIIV FU, d Rca.VRllCU IVOIICe OT Lommencement Is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER ENGINEER: _ Not Applicable
Name: ASD
Address: 4401 Vineland Road Ste A6
MORTGAGE COMPANY: x Not Applicable
Name:
Address:
City: orlando State: Ft-
Zip: 32811 Phone407-734-1470Zip:
City: State:
Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
Address:
BONDING COMPANY: x Not Applicable
Name:
Address:
City:
Zip: Phone:
City:
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 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 paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lenclot`or an attorney before commencing work or recording your Notice of Commencement.
Signature of Owner
STATE OF FLORIDA
COUNTY OF St. Lucie
as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF St. Lucie
Sworn to (or affirmed) and subscribed before me of
X Physical Presence or Online Notarization
this 26th day of May 2020 by
William Dramble
Name of person making statement.
Sworn to (or affirmed) and subscribed before me of
x Physical Presence or Online Notarization
this 26th day of May 2020 by
William Dramble
Name of person making statement.
Personally Known x
OR Produced Identification
Personally Known x OR Produced Identification
Type of Identification
Type of Identification
Pr duced
Pr duced
(Signature of Notar
ubli - State of FI i I
(Signature of NotaNkZybliO State of Florida
Commission No.
�rP�I ffIq RING
SION # FF140529
Commission No.
a"° �R RING
y My
"FpF Fl,�P° EXPIRES: July 10, 2020
1�.ty�tsslON # FF140529
OF nd� EXPIRES: July 10, 2020
REVIEWS FRONT ZONING SUPERVISOR
PLANS VEGETATION
SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW
REVIEW REVIEW
REVIEW REVIEW
DATE
RECEIVED
DATE