HomeMy WebLinkAboutBuilding Permit Application !All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
0
- - - - - . 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
PERMIT TYPE:
'PROPOSED IMPROVEMENT LOCATION:
Address: 9000 Pumpkin Ridge,Port St Lucie,FL 34986
Property Tax ID#: 1357171 — 505 -- DI 000 Lot No._130,p-
Site Plan Name: M Q I d,S�'0 n Block No.
Project Name: Dave Gallup
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a DETA1LM DES:CRIPTICKOF WORK:
Install Hurricane Protection Products on C 1 In
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CONSTRUCTION INFORMATION'.
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Additional work to be performed under this permit—check all that apply:
_Mechanical _Gas Tank —Gas Piping Shutters _Windows/Doors
V Electric —Plumbing _Sprinklers Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$6,689.92 Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
NameDave Gallup Name:Brian Rist
Address:9000 Pumpkin Ridge Company:Storm Smart Building Systems
City: Port St Lucie State:FL Address:6182 Idlewild St
Zip Code: 34986 Fax: City:Fort Myers State FL
Phone No.215-870-5665 Zip Code: 33966 Fax:884-330-8277
E-Mail:Dagallup@comcast.net Phone No 561-229-0048
Fill in fee simple Title Holder on next page(if different E-Mailtlytle@StormSmartSE.com
from the.Owner listed above) State or County License CRC056857
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.
3y WrA � ,
PE.. NER/ENGINEER;~ NOtApplicable
MORTGAGECOiVIPANY _Not:Applicable
fWama; Name:
Address: Addles:
City:.__ _. State. City: State:.
Zrp . . T hook Zip: Phone:
irE£SIMPLE TITLE HCtt Df:tt: _N.ot Applicable EO.NDING COMPANY: _Nat Applicable
Name. _ Norn
Address: _ Address:
C►>ry:_
Zip: Phone:, Zlp. Phonei
OWNER ":CONTRACTOR�AFFIDVIT;Application 1s:hereby made-to:obtain a,permit to-do thevorkand Ingtallation,,as indicated:
(certify thaf'no work orlrittallation,has tornmenced priorto the rssuance Of a,perm,
5t Itucie:Coun makes no representation'thai:sgranting aperrrmit '%Il autt�orrzethe ermit holtlertio bulldthesut jeetstractU'tie
which is in con ictwith anyappiicable Nome Ow.nersAssociation rues fsylaws'or andpcovenantsthat may resttia6fpro: bit such
structure.Nease:wnsult.wkl your Home Owners Association'and rev ew-your deed for any.restriction5which'may apply..
In consideration offhe granting of this requested permA,i do herebyagreethat i"will,in all respects,perform the:work
inaccordance with the approved plans,the.Florida building Codes and 5t.Lucie County:Amendments':,
The-followlhg building perm) :a:ppiieations are.eXemptfrom urtCerga ng a-full coneurrency review.t-room=addition's;
accessory structures,swimming,pools,fences,,walls,signs,screen-rooms,and accessory;uses to anoiher:non-residential use
*WARNING TO,OW NEW YOUR FAILURE TO RECORD A NOTICE'QE COMMENCENENir,MAY RESULT YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF.Co CEMENT t s 'RECoRnED AND
I*QSTED ON 711E J013:.SITE BfEFORE*w FlRST 111iSPEGI1lU IF lt(>r D TO OBTAIN" 11dO�ItG, CQNStI�LT
1±htTN YoUil°!ENDER OR AN ATibRNEIf B00C REGoR"'NO YOUR-_ b' MME
.'signature,of Dwner/Lessee/con or a's Agent forAlwner 5 gnattire af.[ontrattiir Lic.rise Hol)TePJ
5:MU OF I LORIDA STATE OF LOR16A
COtlNTY'OF'FL. COUNTY O:FEL:
The f,I oine instrument was acknowledged,before me The forgoing instrument.was ocknoWledged.before me
this22 day of a u'L t1allo by this•:2-7w day of.Jim .2Q : by
a�i:d t� r� axe 1`5 =
I Name of person making statement Marne of person making statement..:
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Personalty Known b.:R Produced icteratification t/ Personally Known OR Produced ld"entiPcation
Type of identicatiori Type of Identificaildh,
Pro.d.uce. - b Produced,
(Sig ur .. tatyPublie-�5ta Florid"enia Sarzueia °
- fS' _ a ofd�iotar�Public 5x pr�Cr ARY PUBLiC
UQTA,RY PUBLIC oQ
.Co.- s'ioni iyo., " ' `� OF FLQRtDA
i4tr>:OFFLORIUA: Com.,issfon No-4r i .
Camm#-GG31 7472 v; gti� orrttn GG3 S`7472
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RE}/l£4( FRONT! ZONING SUPERVISOR, PLANS VEGETATION $£A7URTLE fV1AI�Gi3i7Vi_
COUNI ER REVIEW' REfIIEW aEvEinf REVIE1t1t REVIEW: ftEVECUII
DATE
RECEIVED
DATE
CQNiPCETEi7
ev.277,71
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