HomeMy WebLinkAboutBuilding Permit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date
Permit Number:
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 X
PERMIT APPLICATION FOR: INTERIOR RENOVATIONS, WINDOWS AND DOORSs
PROPOSED IMPROVEMENT LOCATION:
116 QUEEN CHRISTINA CT Hutchinson Island. FL 34949--
nUul C».
Property Tax ID #: 1414-702-0008-000-5 -
Site Plan Name: BRANDENBURG RESIDENCE
Project Name: BRANDENBURG RESIDENCE
I DETAILED DESCRIPTION OF WORK:
r Alterations,
r walls, rium
Remove and Replace Some Windows and Doors -Per Plan, CMU Infill,
(Existing Shutters in place)
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Lot No. BlockNo.No. 21
Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank —Gas Piping _ Shutters X Windows/Doors _ Pond
X Electric X Plumbing
Total Sq. Ft of Construction: N/A
Cost of Construction: $ 149,900.00
_ Sprinklers _ Generator Roof Pitch
Sq. Ft. of First Floor:
Utilities: _ Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Harold el a Brandedburg
Name: on R. JacKson
Address: Queen Christina
Company: eap0ln a ul ers
City: FP State: _EL
Address: 1 17 Queen Ann .
City: FP State:FL
Zip Code: 34949 Fax: n a
Phone No.
34949
Zip Code: 772-577-0166 Fax: n a
Phone No
E-Mail:
Fill in fee simple Title Holder on next page ( if different
E-Mail seapointebuilders 9comcast.ne
State or County License
from the Owner listed above)
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.
ESIGNER/ENGINEER: —
Nat Applicable
Name:
Address:,-
s Z!r
City. � �� .
Zip: G MPhone �f -
state: � L
-�
FEE SIMPLE TITLE HOLDE :
Not Applicable
Name:
Address:
City:
Zip: Pho e:
MORTGAGE COMPANY: ` Not Applicable
Name:
Address:
City' State:
Zip: Phone:
BONDING COMPANY; Not Applicable
Name:
Address:
City:
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 jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
Commencing work or r ordin of Commencement. .,
of Own
0r�iLessee/Contractor as Agent for Owner ature of
Holder
'STATE OF FWRIDA STATE OF ID
COUNTY ��
• �-��.,, COUNTY
The forgoing instru ent was acknowled ed before me The f r oing instru ent was acknowled ed Wore me
thiday of ir`� z0�y this day of
2 y
(Name of person acknowledging)
.(Signature of Notary Public- State of rforida )
(Name of person acknowledging)
(Signature of Notary Public- State Florida )
Personally Known OR Produced Identification Personally Known
Type of Identificati
Produced ApRlANA RAYA Type of ldentific�i
" "~ Produced__�
Notary. Pubiic - State of Florida
Commission No, :-ya:' (S�6sion # GG 964625 Commission No.
My Comm. Expires Nov 7, 2023
REVIEWS FRONT I ZONING
COUNTER REVIEW
DATE
RECEIVED
DATE
COMPLETED
OR Produced Identification
ADRIANA RAYA
Notar�� - State of Florida
CoP n # GG 964625
My Comm. Expires Nov 7, 2023
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