HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED //
Date: „ Permit Number: �,.�('� 04-
m.. m . JUN 2 6 2020
Building Permit Application
Planning and Development Services; �. ..r,,,
Building and Code Regulation Division ;
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial
PERMIT TYPE:
PR00SED.IMPR4VEM'ENT LOCATION. h
Address:g a(4&
Property Tax ID#:L"taQiFC3dC3` 7 Lot No. IL
Site Plan Name:3ose_06 oc '�Ac\ CaG'_J Block No.
Project.Name:(;Q)G.xn°>
DETPiILErJ DESCRIPTIQN OF 1N6RKN.
R
C{}NSTR't CT{t3N INEQttMATION
Additional work to be performed under this permit-check all that apply:
Mechanical —Gas Tank Gas Piping _Shutters Windows/Doors
—Electric —Plumbing Sprinklers _Generator T Roof Pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ t(9 . i 0 Utilities: _Sewer ,Septic Building Height:
C?UVNER/IESSEE RACTOR ,s`
CUNT
-
Name O$e_ I` 6v q_ Name:JAMES D. DAVIS
Address: 56 56ry^ f!•fns. cd sl,.7 Company:3&G CARPENTRY, INC.
City:_enr+- State: L Address:13461 79TH CT. N.
Zip Coder L4 q 37 a Fax: City: WEST PALM BEACH State:FL
Phone No.- ~� '� � �/ Cj l Zip Code: 33412 Fax: 561-855-4054.
E-Mail: Phone No 561-855-4052
Fill in fee simple Title Holder on next page(if different E-Mail
from the Owner listed above) State or County License CGCO22831
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
If value of HVAC is$7,500 or more,a RECORDED Notice of Commencement is required.
x
OR il ' N LAVW!?iVFQRMATI{�N
DESIGNER/ENGINEER: x 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: ICity:
Zip: Phone: Zip: Phone:
i
OWNER/CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permit to do the work and installation as indicated.
I certifythat 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 thepermit 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 YOUWPAYING
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
WITH YOUR LFOER,6R AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Signature o wner/Lessee/Contractor as Agent for Owner Signature of Con ctor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF Sk LAXC;Q COUNTY OF--BEACH
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
thisPj day of .1i�i 20 c?D by this day of i)rs 0-'- 20a8by
Lao-Lief& JAMES D.DAVIS
Name of person making statement. Name of person making statement.-
Personally Known OR Produced Identification ✓ Personally Known x OR Produced Identifitio �,
Type of Identification
enficati Identification
Produced Produced
00aJ`�J�
tic x �'�G���`t�•��
I(Sign of Notary ub ic-State of FlorQ (Signature of Notary Public- rifs)
I's STEPHANIE N HE RINGsion Na. C� _ Commisslon#GG rognmission No. '' `'` (Seal)
�} o< Expires July 16, 022
� ''F oma.
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.