HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 06/16/2020 Permit Number:
L
LD) tt, 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
X
PERMIT APPLICATION FOR: New app to close out expired permit SLC-1504-0291
PROPOSED IMPROVEMENT LOCATION:
Address: i uuy Osceola ur. Fort Pierce, FL 34982
Property Tax ID #: 3409-801-0016-000-8
Site Plan Name:
Project Name:
Sorora S/D Lot No. 16
Block No.
REPLACE ALL EXTERIOR WINDOWS AND DOORS - NON IMPACT WITH SHUTTERS ON THE WINDOWS.
New Electrical Meter Second Electrical Meter
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank _ Gas Piping Z Shutters
_ Electric _ Plumbing _ Sprinklers _ Generator
Total Sq. Ft of Construction: _
Cost of Construction: $ 2,000
X Windows/Doors _ Pond
Sq. Ft. of First Floor:
_ Roof Pitch
Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Wylie O Brown/Lawana Brown
Address:1008 Osceola Dr.
Name:Wylie O Brown/Owner Builder
Company: Owner Builder
City: Fort Pierce State: 1E_L
Zip Code: 34982 Fax:
Phone No. 772-979-4550
E-Mail: wylieo@att.net
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Address:1008 Osceola Dr.
City: Fort Pierce State: FL
Zip Code: 34982 Fax:
Phone No772-979-4550
E-Mail
State or County License
a value or construction is Zsuu or more, a KECUKDED Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTALCONMUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: X Not Applicable
MORTGAGE COMPANY: x Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable BONDING COMPANY: X 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 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 lender or an attorney before commencing work or recording your.Notice of Commencement.
Signat W of Owner/ Lessee/Contractor as Agent for Owner
Sign re of Coritr ctor/license Holder
STATE OF FLORIDA I
COUNTY OF
STATE OF FLORIDA i
(+ LL4
COUNTY OF
Sworn to (or affirmed) and subscribed before me of
Physical Presentee or Online Notarization
Sworn to (or affirmed) and subscribed before me of
✓ Physical Presence Online
this ) W day of -Jk-06 2020 by
or Notarization
this 11,' day ofy 2020 by
Name of person making statement.
Name of person making statement.
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