HomeMy WebLinkAboutPermit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34992
Phone: (772) 462-1553 Fax: (772) 462-1578
Building Permit Application
Commercial ;F Residential
PERMITTYPE: � V-00vy) JA( IWlftdoV�r s
,--------------
t�rlb
•.- r • 1 I Lot No.
BlockSite Plan Name:
Project Name:
I DETAILED DESCRIPTION OF WORK:
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters
_ Electric _ Plumbing _ Sprinklers _ Generator
Total Sq. Ft of Construction: Im god k} Sq. Ft. of First Floor:
Cost of Construction: $ '! 7= Utilities: —Sewer _Septic
City: fl2rfi S-r. (.lAA;11i State:
Zip Code: 34n, Fax: h6al
T
Phone No.
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: Gary Whigham
Windows/Doors
_ Roof Pitch
Building Height:
Company: South Florida Aluminum Products
Address:4807 S US HIGHWAY 1
City: Fort Pierce State: FL
Zip Code: 34982 Fax: 772-466-1074
Phone No 772466-0913
E-Mail sfapbooks@sofialum.com
State or County License ±tJA
construction Is $2500 or more, a RECORDED Notice of Commencement
ff value of HVAC is 57,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION;
DESIGNER/ENGINEER: _ Not Applicable
Name: ���l�rYJ�frIIA End
MORTGAGE COMPANY: x Not Applicable
Name:
Address: b l MI tyr rvf rr S`F, f
Address:
City: A State: �J�_
City: State:
Zip: Phone 119— 314 - 1rt0�,_
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 AFFIDVI : 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
"YARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING ,
TWICE FOR IMPROVE S TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED B SIT BEFORE THE FIRST INSPECTION. IF YOU INTE TTJ OBT FINANCING, CONSULT
tYFFH UR DER OR ATTORNEY BEFORE RECORDING YOUR OF COMMENCEMENT."
/ Z=24==_
I
Sin Own" L ee/Contractor as Agent for Owner
Signature of ColfitclIcUr4tic6se Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF sr wce
COUNTY OFaT RUCHE
The for oe'Ing Instrument was acknowledged before me
this � day of +�. 20" by
The for 0�y�g instrument was acknowledged before me
this forof 20-W by
GAHY MIGHAM
WY NMIGHAM
Name of person making statement.
Name of person making statement.
Personally Known X OR Produced Identification _
Personally Known X OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
t
�� N
(Signature ofJ otary Pu i "f K a e o nda
is ion f GG 928I90
•.,an,,i` My COMM. Expires Jan 24, 202a`.,
Commission No. Banded trr0aa�1mnal Notary Assn.
(Signature Nota at@�T f4Fa jjrare of Fgonda
Commission b GG 938390
n4 My Comm. Ex _ es JAn Ix, 20Ia
Commission No. dad rhrovgit N NNo�24.ary Asm.
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.