HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
- 3J 4
a
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
PERMIT TYPE: SV1 r0 Ow
PROPOSED IMPROVEMENT LOCATION;
Address: IS f Ol/k1, VrSt7u- f7t4,U
Property Tax ID #: 94 7,1-- SOD " D199 001 ' 1 Lot No.
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
O ik
CONSTRUCTION INFORMATION:
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 Constructi n: Sq. Ft. of First Floor:
Cost of Construction: $ V Utilities: —Sewer _ Septic Building Height:
❑ W N E R/LESSEE: CONTRACTOR;
NameVi_foo td1-[ Name: Gary Whigham
Address:_1 (61 (G!. W �'7, '1YW * /03 Company: South Florida Aluminum Products
City: _ f7o /fi LA&M,{,_ State: fL Address: 4807 S US HIGHWAY 1
Zip Code: Fax: n // City: Fort Pierce State: FL
Phone No. Z-3 711 — 0057— Zip Code: 34982 Fax: 772-466-1074
E-Mail: fl Gr 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.
.SUPPLE MENTAL.CONSTRUCTJON LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _~ Not rApplicable
Name:
Address: fv 1
City: State:��
Zip: Phone
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
Address:
City:
Zip. Phone:
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip- Phone:
x Not Applicable
State:
i
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 contlict 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 O AA ATTORNEY BEFORE RECORDING YOU-11111MICt F COMMENCEMENT."
ature of Owner/
STATE OF FLORIDA
COUNTY OF sT LUCIE
ctor as Agent for Owner
The forgo�ir�instrument was acknowledged before me
thi&,� — U of 24J�D by
GARY WHIGHAM
Name of person making statement.
Personally Known X OR Produced Identification
Type of Identification
Produced
�2"J�ez
(Signat a ary PuWFy Wlaax"lori6
_ ,� a Notary Public - State of Florida
Commis ,p Commission # GG 938390
•arn`' .._ ._—_ -'---- 'an 24, 20�i'
Bonded through National Notary Assn.
REVIEWS FRONT
I COUNTER
DATE
RECEIVED
DATE
COMPLETED
ev.
ZONING SUPERVISOR
REVIEW REVIEW
/License Holder
STATE OF FLORIDA
COUNTY OF sT LUCIE
The for ❑i,�g instrument wa acknowledged before me
this day of 20,U. by
GARY WHIGHAM
Name of person making statement.
Personally Known X OR Produced Identification
Type of Identification
Produced
re
I aAM a '' MA" ANN MATONTI
+¢ `= Notary Public • State of
Commission I; Ea mis ion A GG 93���
My Comm. Expires Jan 24, 2024
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