HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
S .J
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x Residential
PERMITTYPE: f �- VV indowi
PROPOSED IMPROVEMENT LOCATION:
Address: / G l A V [F t-01 firatt
Property Tax ID #: 01019- QQ O - d 'Lot No.
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
7-.
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit - check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters f Windows/Doors
Electric _ Plumbing _ Sprinklers _ Generator Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ Utilities: —Sewer _Septic Building Height: _
OWNER/LESSEE:
CONTRACTOR:
Name T1 -na Name: Gary Whigham
Address: I5 1A 14,j, t� t -0- 103 Company: South Florida Aluminum Products
City: F-O i - 0-,_l,(J LA'G State: FL- Address: 4807 S US HIGHWAY 1
Zip Code: 52 Fax: n City: Fort Pierce State. FL
Phone No. 1,Z- g'(I Db�z Zip Code: 34982 Fax: 772-466-1074
E-Mail: n Phone No 772-466-0913
Fill in fee simple Title Holder on next page ( if different E-Mail sfapbooks@soflalum.com
from the Owner listed above) State or County License CRC1330712
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.
DESIGNER/ENGINEER: _ Not Applicable
Name: F j �J,XO
S
Address: b9Ti fil"Iljr? l%IZ4
City: 06L Stater
Zip: Phone
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:
X Not Applicable
UntvI l IU1v:
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:.
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
X Not Applicable j
State:
X Not Applicable
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 Y.DW LENDER O. -AN ATTORNEY BEFORE RECORDING YOUR-W_TtCE OF CQMMENCEMENT."
Signature of Owner/ Lest,_ f ontractor as Agent for Owner Sign atuor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ST LUCIE COUNTY OF ST LUCIE
The forgoing instru ent was acknowledged before me The f,,Q r oog instrument was acknowledged before me
this 'ay of 1 20 j by this: qday of •� , 209X by
GARY WHIGHAM GARY WHIGHAM J
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
Produced Produced
r
(Signat ary PuWayMalwa t+fllorid } (Signature o
' Notary
Public -State of Florida
:►R" ° MARY ANN MATONTI
Commis Commission O GG 938390
I '�' ' Notary Public - State efol)
.;� Jan 24, 2[t Commission�>
G 93
Bonded through National Notary Assn. 'Y' ' My Comm. Expire Commission # G an 24, 2024
i NaLary
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
nia M --J ... _..