HomeMy WebLinkAboutBuilding Permit ApplicaitonAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: July 7, 2020 Permit Number:
1M LIME
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential XXXX
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Sutter Bathroom Alteration
PROPOSED IMPROVEMENT LOCATION: Guest Bath Alteration
Address: 5167 N HIGHWAY Al 303, Hutchinson Island, FL 34949-7838
Property Tax ID #: 1411-709-0017-000-3
Site Plan Name: Sutter Bathroom
Project Name: Sutter Bathroom
Lot No. NA
Block No. NA
I DETAILED DESCRIPTION OF WORK: I
Demo of exisitng guest bath & replace new -
All plumbing & electrical to met FBC - Framing - duradock - Scope of Work attached
New Electrical Meter NA Second Electrical MeterNA
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors _ Pond
Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction: 40
Cost of Construction: $ 13,335.97
Generator _ Roof
Sq. Ft. of First Floor: 1,230
Utilities: —Sewer _Septic Building Height:
Pitch
OWNER/LESSEE:
CONTRACTOR:
Name Jon Carlton Sutter Wor Lillian Nancy Sutter
Name:Joshua Farrow
Address:14259 Creekbed Circle
Company: Farrow Construction Corp.
City: Winter Garden State: _
Zip Code: 34787 Fax: NA
Phone No.757.277.1199
Address:1821 Lemon Avenue, Suite B
City: Vero Beach State: FL
Zip Code: 32960 Fax: 772.217.3918
Phone No772.617.2488
E-Mail:jonsutter@att.net
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail info@farrowconstruction.com
State or County License CGC1 508740
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: xr Not Applicable
Name:
MORTGAGE COMPANY: xxx Not Applicable
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _, Not Applicable
BONDING COMPANY: xxx Not Applicable
Name:
Name:
Address:
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 paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lender or an attorney before commencing work or recording our Notice of Commencement.
Signature of Owner/ ssee/Contractor as Agent for Owner
Signature of ractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF Indian River
COUNTY OF Indian River
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
h sical Presence or Online Notarization
this day of 2020 by
_Ph sical Prese ce or Online Notarization
this day of 2020 by
Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification
xx OR Produced Identification
Type of Identitc do
entification
Produced ��
yPersoKnown
EISWERTH
(Signature of Notary Public- State':o 1I'6e4a WE
MY COMMISSION # GG
Commission No. V V ' .'( °�,�: 'ISeal)EXPIRES July 31, 2
T ature of Notary Publi =• t b� 4xizb4MISSION # GG016744
16 4 -?;
. � EXPIRES July 31, 2020
tom fission No. — y Seal
REVIEWS
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SUPERVISOR
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VEGETATION
SEA TURTLE
MANGROVE
COUNTER
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REVIEW
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DATE
COMPLETED
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