HomeMy WebLinkAboutBuilding Permit All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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--� --� - Building Permit Application
Planning and Development Services a3AI3:132i
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMITTYPE:
PROROSED @�lEMENT LOCt?lT�t3( .
Address: 1 97L1�1 �fL� ,L/ -
Property Tax ID#,-3 qo-Q-• d DL11- 00 • c Lot No.
Site Plan Name: Block No.
Project Name: \--rb rA)
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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:$ 1 L4 (10` Z 3 Utilities: —Sewer _Septic Building Height:
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Name Q E` Name:JAMES D.DAVIS
Address: o2/ Company:3&G CARPENTRY, INC.'
City: r7b,Qr C 2 cv- State:EL Address:13461 79TH CT. N_
Zip Code: 3 9Cj)J1 a-11 Fax: City: WEST PALM BEACH State:FL
Phone No.'-7 �1 o r D0 3 � 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 GCO2288)
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.
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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: I 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:'
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Signa a of Owner/Lessee/Contractor as Agent f caner Signa e Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF PALM BEACH
The forgoing instrum nt was acknowledged before me The forgoing instr went was acknowledged before me
this day of 20= by this t day of Q ll l ,20J0by
r JAMES D.DAVIS
Name of person making statemen . Name of person making statement.
Personally Known OR Produced Identification Personally Known x OR Produced Identification
Typeof i ,, tifica ion Type of Identification
Prod ed Produced
(Si ature of Notaryr t�$t o v54�yi�� ic,State of Florida (Signatu of Notary P !ic- sate' eFIor�'rla
Com ission#GG 968864
Commissian,t GG 227658 * ire rii i 2024
Commission No. My cort>iSeacres July 26,2422 Commission No. N9F •� p �
Ca�7 p --gi pF o� Bon adgetNota Services
REVIEWS FRONT ZONING SUPERVISOR PLAN5 VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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