HomeMy WebLinkAboutBuilding Permit Application All APPLI 81.q INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: v Permit Number:
O
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential x
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578
PERMIT APPLICATION FOR:Demolition
PROPQSED 1lVIPROV.EMENT LOCATION`
Address: 2807 Placid Av Fort Pierce, FL 34982
Property Tax ID#: 2421-606-0003-000-0 Lot No.3
Site Plan Name: Block No.
Project Name:
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°DETAILED DESCRIPTION OF WORK l ;
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New Electrical Meter Second Electrical Meter
CClrNSTRUCTlON lNFORIVIATION
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:$ Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE CONTRACTOR "Ax
t , .
Name Jose Gregorio Garcia &Ana Pacheco Name:Eligha L Pryor Jr
Address:1862 SE Jackson St Company:Complete Construction and Design, LLC
City: Stuart. FL State:_ Add ress:755 8th Ct Ste#4
Zip Code: 34997 Fax: City: Vero Beach State:FL
Phone No. Zip Code: 32962 Fax: 888-688-1738
E-Mail: Phone No 772-242-1524 or 772-672-4210
Fill in fee simple Title Holder on next page(if different E-Mail pandvproperties@gmail.com
from the Owner listed above) State or County License CBC1261381
If value of construction is 2500 or more,a RECORDED Notice of Commencement is required.
If value of HAVC is$7,500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW IN�ORMATIQN
.. � r,
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: _Not Applicable
Name: 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 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 1 will,in all respects,perforin 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 ust be recorded in the public r rds of St.
Lucie County and posted.on.the jobsite before the first inspe on_If you intend to btain fi nc g,consult
with lender or attorneybefore commencingwork or rec di o otice C mm em t.
Signqykie of Owner/Le ee/Contractor as Agent for Owner /gneXof Co ctor/License Holder
STA !E OF``fil/iRIDA STATE OF FLORIDA
COUNTY OF 2nW Wei' ,QI✓Pp-_ COUNTY OF I r Qi✓ei'
Sworn to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
Physical Presence or Online Notarization X P�ysical Presence or Online Notarization
this day ofy UM ,2020 by this today of _r'5JNkLT 2020 by
Name of person making a ALLEN J. BELL Name of person making statement.
Personally Known �U li�f 95 Personally Known A OR Produced Identification
Type of Identification °F�` °y Type of Identification
Produced Produced
(Signature of N ryPublic-Stat1jf%F4(gAdar (Signature of otary Publ'
ALLEN J. BELL ° �° ALLEN J.BELL
Commission No, i,;�9y9 (60W)�I:NIISSION4GG129495 Commission No. G6iZ9 My COM S UJ#GG129495
VoFFOPP EXP1 FS: July 31.2021 °FRCP EXPIRES:July 31,2021
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.