HomeMy WebLinkAboutPermit app JankovicAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
l - 1
J
i
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT TYPE: n O vt/ r-(A pa'lffv
PROPOSED IMPROVEMENT LOCATION:
Address: 5301 e1LA,1IN WLAJ , ftr t- Pi-c,",t- FL 51911
Property Tax ID #: 11-10' ��� ^ D 11 S - 000 - 3 Lot No.
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
VI S'iZ� G4 V -I'i►r � �' D a T 1 �]
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit — check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters endows/Doors
Electric _ Plumbing _ Sprinklers _ Generator Roof Pitch
Total Sq. Ft of Construction: I3Z Sq. Ft. of First Floor:
Cost of Construction: $ Utilities: _ Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name a-th 14'tf A-P, K0 y IG
Name: Gary Whigham
Address: 2-31 ^i ►Iy-Gk•t�`-4-Y,. fj rd L
Company: South Florida Aluminum Products
City: _ wry I I I t. State: L
Address: 4807 S US HIGHWAY 1
City: Fort Pierce State: FL
Zip Code: 60 S(9S Fax: n �D�
Phone No.
Zip Code: 34982 Fax: 772-466-1074
E-Mail: A �Gl
Phone No 772-466-0913
Fill in fee simple Title Holder on next page ( if different
E-Mail sfapbooks@soflalum.com
from the Owner listed above)
State or County License CRC1330712
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.
5URPLEMENTAL CONSTRUCTION LIEN LAIN INEORMATIOiV: -
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY:—
OMPANY:_ x Not Applicable
Name: Name:
Address: b Address:
City: a State: �� City: State:
Zip: PhoneS IS z4f)? _ Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:_
x Not Applicable
BONDING COMPANY: x Not Applicable
Name:_
Address:
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 YOUR PAYING
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 IDUR LENDER OR.A1N ATTORNEY BEFORE RECORDING YOUJF-ilyJ10E6F COMMENCEMENT."
re of -Owner/
STATE OF FLORIDA
COUNTY OF sT LUCIE
ctor as Agent for Owner ' Sign at u rf-e4CGPtrat'f_o r/License Holder
The forgoing instrument was acknowledged before me
this ' day of _InA I A 202A by
GARY WHIGHAM
Name of person making statement.
Personally Known X OR Produced Identification
Type of Identification
Produced
Pry PuW A;y fAwWxa"iMlorid )
Notary Public - State of Florida
41: commission # GG 939340
Bonded through National Notary Assn.
REVIEWS FRONT ZONING SUPERVISOR I COUNTER REVIEW REVIEW I
F
DTED
STATE OF FLORIDA
COUNTY OF sT LUCIE
The forgoing instrument was acknowledged before me
this _e day of 6kAAA 20_U by
GARY WHIGHAM
Name of person making statement.
Personally Known X OR Produced Identification
Type of Identification
Produced
(Signature oy "
/ y►R" A MARY ANN MATONTI
Notary Public State cf
Commission } ian x GG 93MI)
er ry; ' My Comm. Expires Jan 24, 2024
• ded�pc
PLANS VEGETATION SEA TURTLE MANGROVE
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