HomeMy WebLinkAboutBuilding permit app a+kUk e- Cal 0 o
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: June 10, 2020 Permit Number:
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a ° ° Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578
PERMIT APPLICATION FOR:
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PROPOSED IMPROVEMENT LOCATION:
Address: 5009 Melville Road, White City, Florida 34982
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Property Tax ID#: 3403-502-0062-000-9 Lot No.38
Site Plan Name: 5009 Melville Road Block No.
Project Name: 5009 Melville Road
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DETAILED DESCRIPTION OF WORK:
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Complete demolition of structure Q '
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New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all that apply: li
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors _Pond!
_Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction:$ � • Utilities: —Sewer _Septic Building Height: One
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OWNER/LESSEE: CONTRACTOR:
Name White City Rentals LLC Name:Chad Gerome Taylor 'I
Address:5006 Oleander Avenue Company:L.E.B. Demolition &Consulting Contractors, Inc.
City: Fort Pierce State:_ Address:7 Harbour Isle Drive East 204
Zip Code: 34982 Fax: City: Fort Pierce State:FL
Phone No.772-216-1286 Zip Code: 34949 Fax: 772-461-2225
E-Mail: Phone No 772-461-4546/772-216-1286
Fill in fee simple Title Holder on next page(if different E-Mail iwreckn@aol.com
from the Owner listed above) State or County License CGC1519945 j
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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.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: Name:
Address: Address:
City: State: City: State: I
Zip: Pone Zip: Phone:
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FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: x Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
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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 struc lure
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 Cooty 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
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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 attornev before jDAmencing work or recording our Notic of Commencement.
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF saint Lucie COUNTY OF saint wpe
Sworn to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
x Physical Presence or Online Notarization X Physical Presence or Online Notarization
this Doti, day of June ,2020 by this Loth day of June 2020 by
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Name of person making statement. Name of person making statement.
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Type of Identification
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(Signature of Notary Public-State o$_ for N; = (Signature of Notary Public-StateoFf F1of1d9
Commission No. oc oasaoa _ a .(�eala)ccoas3oa ;*= Commission No. oc osasoa =
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REVIEWS FRONT Z0NINI���iip l �T �ilI�S0R PLANS VEGETATION SEAT ��ST� F �ROVE
COUNTER REVIEW VIEW REVIEW REVIEW REVIEW 111�l i���REVIEW
DATE
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