HomeMy WebLinkAboutAPPLICATION_1All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 7/20/2020 Permit Number:
ILU IS
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:1 Exterior Door
PROPOSED IMPROVEMENT LOCATION:Front Door
Address: 5305 PALMETTO DR
Property Tax ID #: 3402-606-0049-000••8 Lot No.51
Site Plan Name: Block No. 5
Project Name: IRE
DETAILED DESCRIPTION OF WORK:
R&R Exterior Front Door
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
_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: $ 1800 Utilities: —Sewer _ Septic Building Height: _
OWNER/LESSEE:
CONTRACTOR:
Name:michael conran
Name �C Y
Company: Contractor Services of South Florida Llc
AddresS 30 \J�� rv�f i C1 `- (-
s:
Address:1001 SE Monterey RD
City: t r ��c' C State: c
ZipCode: �Zc'► Fax:
-�T�
Phone No.
City: Stuart State:fl
Y�
Zip Code: 34994 Fax:
Phone No 7723613227
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail Sfcontractor@yahoo.com
State or County LicenseCBC1261632
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.
SUPPLEMENTA CONSTRUCTION LIEN LAW INFORMATION
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY: Not Applicable
Name:_
Address:
City:_
Zip: _
Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the worK and Installation as inolcateo.
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
__ ___ _.._..., w,.f —nnrino %AinrL, nr rarnrdina vni%r Notice of Commencement.
with lender V ft dLWI I My WIC Vic %.vi I I I I I-1-1—un-
-- -- -
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLOJRPA,
STATE OF FLORIDA
COUNTY OF c f —
COUNTY OFS - 411� i
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
l� Physical Presence or Online Notarization
,A_ Physical Presence or OnlineNotarization
this � day of 2020 by
this d 0b y
n
Jay� /o)f
Name of person making statement.
' �et�
Name of person making statement.
OR Produced Identification >C,
Personally Known OR Produced Identification_
Personally Known
Type of Identifica 'on
Type of Identification
Produc
Produc
Sign ure of Notary u I -
(Sign
Notary Public State of Florida
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
REVIEW
MANGROVE
REVIEW
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 5/b/ZU