HomeMy WebLinkAboutMcKaig Bldg Permit Application07172020All APPLICABLE INFOMUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: I In" Permit Number:
Buitding.Permit Application
Planning ond'Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: OIc
PROPOSED IMPROVEMENT LOCATION:
Address:
PropertyTax ID #: L4sz,:).-- u Oa - b 131- DOQ -�
Site Plan Name
Project Name:
..1-i l O
Lot No.
I DETAILED; DESCRIPTION!OF WORK: __�? I ^A 'T'_, 1 f I A a ;Ik n, . -4-. 1 ., .
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit -check all that apply:
_Mechanical _ Gas rank ^ Gas Piping _ Shutters —Windows/Doors _ Pond
— Electric lumbing _. Sprinklers Generator _ Roof Pitch
Totai.Sq. Ft of Construction: Sq. Ft. of First'Fiaor:
Cost of Construction: $ �J ce , Utilities: —Sewer —septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name
I
Name: Justin Thiery
Address:
`—'
Company: (ssland Kitchpn & Ra_t_h_
City: �'J 5
State E'r
Address: 10875 S Ocean Drive
Zip Code: C" Fax:
City: Jensen Beach State: FL
Phone No._4LLL3 IdA
Zip Code: 34957 Fax:
E-Mail: /
Q Y i L
Phone No 772-237-7348
Fill in fee simple Title Hold"'nextlpage
if different
E-Mail ikb_pm_ayGi�tantaq ail nom
from the Owner listed above)
State or County License CBC1259508
ltvalue 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: _ Not Applicable
Name:
Address:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
Zip: T�_ Phone:
tiuviVtK/ wnt i KALi uk A4iUV1T: 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, wails, 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 attnrnpv hpfnra rnmmnnrinv %At^ri/ - res,-n^r49—. ,. MI..a:.... —X r`..
'��j ,��}
5I nature of Owner/ Lessee/Contractor as- for owner
4L
nt
Sig r of Contractokl icense Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF ;Z�i �,.�c i—e-
COUNTY OF St Lucie
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
Physical Preset or Online Notarization
—"_ Physical Presence or Online Notarization
this day of c 20,1P by
this 1-1 day of Tu I," 20,LC1 by
y"
Justin ThierV
Name of person rhaking statement. U
Name of person making statement.
Personally Known OR Produced Identification _
Personally Known X OR Produced identification
Type of Iden 'fication
Type of Identification
Produce✓dL
Produced D
(Signature of Notary Public- State of Florida)
(Signature of Notary Public- starfeof rids }
MICHAEL RAAZ
Corn on No. '
--� Coa�wlsslon # G�2o
y / , �" ,, � MICHAEL RAAZ
Commission'" _ j * slon # GG 318620
»\o� Expires July 28, 2023
y'r�„ao� Exp res July 28, 2023
Q-60101918FY SOPF
,r ,,o Bonded Thru Budget Notary Servkoe
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