HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETI'_ IR APPLICATION TO BE ACCEPTED
Date: 06/11/2020 Permit Number:
Building Permit Application RECEIVED
Planning and Development Services
Building and Code Regulation Division JUL 2 4 2020
2300 Virginia Avenue, Fort Pierce FL 34982 Permitting D artment
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residentialt• LUIX county
PERMITTYPE: Re -Roof
PROPOSED IMPROVEMENT LOCATION:
Address: 1205 Driftwood Lane, Fort Pierce. FI 34982
Property Tax ID #: 3404-808-0015-000-7
Site Plan Name: Moms
Project Name:
DETAILED DESCRIPTION OF WORK:
Remove existing shingles and replace with 5V crimp
CONSTRUCTION IN
Additional work to be performed under this permit- check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters
_ Electric _ Plumbing
Total Sq. Ft of Construction: 2200
Cost of Construction: $ 17,000
Lot No.15
Block No.
_ Windows/Doors
_ Sprinklers _ Generator _ Roof
Sq. Ft. of First Floor: 22,000
5 Pitch
Utilities: _Sewer _Septic Building Height: 16'
OWNER/LESSEE:
CONTRACTOR:
Name Jacob and Nicole Moms
Name:
Address: 1205 Driftwood lane
Company:'] isIn.- e o v��n otv
City: Fort Pierce State:_
Zip Code: 34982 Fax:
Phone No. 772-519-0834
Address: q 4at "(2:.Tt'L c fcLrk RX,
City: MR. , y a.� - State:�
Zip Code:'�qS- Fax: 4CZ2-4 Cash-oaZ'Z-
Phone No T) -4-4U -az Q-z-
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
ti
E-Mailer
State or Coin n L� icense
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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 fN LAW INFORMATION:
Not Applicable I MORTGAGE COMPANY: _ Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ Not Applicable I BONDING COMPANY: _Not Applicable
Name: Name:
Acldrncc Address:
City: City:
Zip: Phone: Zip: Phone:
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 YOUR LENDER OR AN ATTORNEY BEFORE RECORDIN OUR NOTICE OF COMMENCEMENT."
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Signature ofOwner/ Lessee/Contractor as Agent for Owner
n re of Contractor iceiise I{olde� '�"�
:ATE
STATE OF FLORIDgg,
OF FLORIDA
COUNTY OF S'� . LLIGIP/
COUNTY OF ��tr
The forgoing instru ent was acknowledged before me
The forgoing instrument was acknowledged before me
this IF day of 1 203g by
this _ day of 20_ by
N) colt Morris
5;�
Name of person making tement.
Name of person making statement.
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification,
Type of Identification
Produced
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ublic- State of Florida")
(Si atur f NolaNol&y Publiclstfe of Florida)
Commission No. (Seal)
Commission No. (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 2/ // 1y