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HomeMy WebLinkAboutBuilding permit app All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED s� Date: (� Z� Permit Number: ��✓� '��S RECEIVE-t Building Permit Application JUL 10 2020 Planning and Development Services ST. Lucie County, Permitting ; Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X PERMIT TYPE: PROPOSED:IMPROVENIENT Address: ,;:f Z05 r�r Property Tax ID#: q5()a �o�� ' 1` Q�-� Lot No. Site Plan Name:' l"-�!k.V% 0C C_(-vAc(es (4 JA C Q e. Block No. Project Name: DETAILED DESCRIPTION OF 1IUORK N k , C6+- rervt c m 5 t- e.., CON�TR'UCTION INFORMATION - 5 Additional work to be performed under this permit-check all that apply: Mechanical —Gas Tank `Gas Piping _Shutters ✓Windows/Doors —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 T ....: ., .a„,z .-r .,-- m ,., .v <,' +,+• e. �,) .L., "S is", NameU+J. G c, C_kFocte Name:JAMES D. DAVIS K Address(,` prLn�c ►y Q 41 It 30S Company:J&G CARPENTRY, INC. City: Nes,5cr, e�e�a, Stater Address:13461 79TH CT. N. Zip Code: 3L-`q S 7 Fax: City: WEST PALM BEACH State:FL Phone 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 C�CO2283f 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. SUPLEMENTA C4NSTRUCTIOIU LIEN ,LAW IIUFORMATION x k � 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: 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 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 YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Signature of Owner/Lessee/Contractor A Agent for Owner Signature o ntractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF ML,f%0 COUNTY OF PALM BEACH The for oing instrument was acknowledged before me The forgoing instrumen was acknowledged before me this day of ( ,i 2o7h by this day of ,2W by RAo " JAMES D.DAVIS Name of person making statement. Name of person making statement. Personally Known OR Produced Identificat' I' ; Personally Known x OR Produced Identification'- Type of Ide tification a ' Type of Identification Produced (,I�GIfl� 7�pI' '��p`D aK o Produced . r� ouQ w, o x o ii ek (Signature of Notary Public-State of Florida) a (Signatu of Nota Publi State of Florida 1 S9 � Z n �, treyPUe AN ELAYOUNG (; '] ^ ' .o� � '� Com GG 968864 Commission No. "{ (Seal ~ m � � ^, Commission Na. woe Expires April 1ZZQ24 t, w tFp pco�` Bonded Thru Budget Notary tervlces REVIEWS FRONT ZONING SUPERVISOR PLAN5 VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. "FLORIDA JURAT', FS`11Td.5{ 3j. Effective,January 1„202n+.:" State,cf Florida . County of__PALM BEACH ;,, . Sworn to{or�affi 6 beforelifWby means of , 0 Physical Presence, ❑Onllne Not'ari2ation, s , this dayof 2020 by Day ontliYear� JAMESD D' IS Name of Person Swearing orAffirmi"rig Sig dtore of otary'Pu rc 'States of Florida i4NGF1 YOUNG.:" Name of.N"otary:Typed Pr�naed or'Stampec� , o�pRvrpe�, ANGELAYOUNG �)P6rson 11 ally;Known _ ` Commission#GG 966664 - d Produced He r ae Expires April12,2024. 9TFpF p�oQ� Bonded Thru Budget Notary Services Type of(dentlficattor Produced", ' Place!Votary Seal Stamp AbdVe OPTIONAL { Completing this�nfor."matron"can deter alteration of the document or . fraudulent reattdchment of this form,to an unintended'clacument`- D.escription ofAttached Document` Title or r T ype of:Document Document Date:' Number of Pages: Signer{s)Other Than,Name6Above: ©2079 National Notary Association t