HomeMy WebLinkAbout5804_siding_permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 07/08/20 Permit Number:
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: 5804 deer run dr
Property Tax ID #: 1313-502-0127-000-1
Site Plan Name:
Project Name: MW real estate 5804
DETAILED DESCRIPTION OF WORK:
Residential X
Replace exist siding w/ rbb 12 " oc siding along south side, east side and north side.
New Electrical Meter Second Electrical Meter
I CONSTRUCTION INFORMATION:
Lot No.550
Block No.
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors _ Pond
_ Electric _ Plumbing
Total Sq. Ft of Construction: 3597
Cost of Construction: $ $4500.00
Sprinklers
Generator _ Roof
Sq. Ft. of First Floor: 2680
Utilities: —Sewer _ Septic Building Height:
Pitch
OWNER/LESSEE:
CONTRACTOR:
NameMW real estate group holdings 1 Ilc
Name:Jesus Medina
Address:16850 Collins ave #11250
Company:Big Dog Repair Llc
city: Sunny isles FL State: _
Address:130 s indian River dr
Zip Code: 33160 Fax:
city: Fort pierce state:FI
Phone No.954-526-5836
Zip Code: 34950 Fax:
E-Mail:Lucas@mwregroup.com
Phone N0772-742-1200
Fill in fee simple Title Holder on next page ( if different
E-MailBigdogserv@gmail.com
from the Owner listed above)
State or County LicenseCbc1253459
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION 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 att(*ney before commencing work or recording our N tice of Commencement.
._...__ .
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Con ractor/ ice se Holder
STATE OF FLORIna
STAT RIDA,
COUNTY OF
COUNTY OF
Swor to (or affirmed) and subscribed before me of
Swor (or affirmed) and subscribed before me of
Physical Presenc or . Online Notarization
Physical Prese ce or Online Notarization
this day of 2020 by
this day of 2020 by
WU� C-0L—
Na of person maki statement.
C7F
e of person makin tatement. h
Pe s Wally Known OR Produced Identifici
;/er sonally Known OR Produced Identificat%n
Ty of Identi ication
——
Type of Identification
Pro c d t.._ A L? Q w
Produced_ ,0 fn
(S' n Lure of Notary Public tate of Florida) "'ure
of Notary Pu c- State of Florida)
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MANGROVE
COUNTER
REVIEW
REVIEW
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REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 5/6/20