HomeMy WebLinkAboutBuilding Permit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
COUNTY
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 Residential
PERMITTYPE: �� O r ion S'h, K+f v S s Pa,nLt a
PROPOSED .IMPROVEMENT LOCATION_
Address: 410 0 Swn V Cti W d j+ F-11
Property Tax ID #: 3 — SO (-u- - UID — 3 Lot No.
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
r S 4 ( Z ) S'ry ii-ws
CONSTRUCTION INFORMATION:
Block No.
Additional work to be performed under this permit—check all that apply:
_Mechanical _ Gas Tank _ Gas Piping ✓ Shutters _ Windows/Doors
_ Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction:n_
Cost of Construction: $ _Aa OO
OWNER/ LESSEE:
Generator Roof Pitch
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic
Name
Address:- LiV} rl"� I�l•rd -�
City: 6 State: �L
Zip Code: ailA ti Fax:
Phone No. '7-72-- ��.
0
E -Mail: ill V i Y)C-'da r.j-
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR:
Name: Gary Whigham
Building Height:
Company: South Florida Aluminum Products
Address: 4807 S US HIGHWAY 1
City: Fort Pierce
Zip Code: 34982 Fax:
Phone No 772-466-0913
E -Mail sfapbooks@soflalum.com
State: FL
772-466-1074
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.
SUPPLEMENTAL CONSTRUCTION LIEN.
LA1N IN
DESIGNER/ENGINEER: 4 Not Applicable
Name:
Address: Ojl/lwlr;,.4._S�}
City: a State:.r— L
Zip: PhoneS'Li
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:
X Not Applicable
ORMATIONI:
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
_[BONDING COMPANY:
Name -
Address:
City:
Zip: Phone:
X Not Applicable
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.
Lucie
ty ctaes nappcairpermit,ize the pcmit stto adhe subject
structure iicoflictwith any representationthat
Associationrulesbyaws or andovenanthat myrestrt oproh bts 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 YOM LENDER O- Ak ATTORNEY BEFORE RECORDING YOUR- iCiE OF COMMENCEMENT."
Signature of Owner/ Les'Se�ontractor as Agent for Owner
Signatu or/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF ST LUCIE
COUNTY OF ST LUCIE
The forgoing instru en was acknowledged before me
this ay `
The fording instrument was acknowledged before me
of 20c by
this2T �ay of4:1 t20- by
GARY WHIGHAM
GARY WHIGHAM
Name of person making statement.
Name of person making statement.
Personally Known ,?G OR Produced Identification
Type of I`�c enTJ icati
wn ,?C OR Produced Identification
�cen
Produced
cation
Produced
r
(Signat tary PuWkoyiatpW74firFilorid j
(Signature c
►� • Notary Public - State of Florida
Y
MARY
Commis Commission # GG 938399
an 24, 20i� I)
ANNMATONTI
Commission Notary Public State
for, r3i
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Banded through National Notary Assn.
# GG
' My Comm. Expires Jan 24, 2024
REVIEWS FRONT ZONING SUPERVISOR
PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW
REVIEW REVIEW REVIEW REVIEW
DATE
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RECEIVED
DATE
COMPLETED
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