HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: )SY l � --I_� ZIT Permit Number:
ICOUNTY
- 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: Y Y i canto" p anc S
-
Address: -t l � i G U :y-06 1 QV ] i' } 3 ,U=� t" L'
Property Tax ID#: ZZ S M)D ) 9 00 0 I Lot No.
Site Plan Name: Block No.
Project Name:
,.
DETAILED DES MiPTIQN
-W-F'�
Additional work to be performed under this permit-check all that apply:
_Mechanical _Gas Tank ^Gas Piping Shutters _Windows/Doors
_ Electric _Plumbing _Sprinklers _Generator , Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction:$ 6(po , Utilities: —Sewer —Septic Building Height:
NameT^'1-1 1 1 1 U �' � Name: Gary Whigham
Address: V COC k- V't Ck ~1_A a% ), 1 G ) Company: South Florida Aluminum Products
City: \7 41 _ State: fL Address:4807 S US HIGHWAY 1
Zip Code: 7; A-q S 2 Fax: City: Fort Pierce State:FL
Phone No. �1'I - '� 1 'OLD '7 I Zip Code: 34982 Fax: 772-466-1074
E-Mail: Phone No 772-466-0913
Fill in fee simple Title Holder on next page (if different I E-Mail sfapbooks@soflalum.com
from the Owner listed above) I State or County License 14911
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 LAW INFORMATION:
•
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: Name:
Address: kAL ; Address
City: T
A.Ann 12A, State:_f� City: State:
Zip: Phone S{IS - I�}.� ? Zip: Phone:
I
FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: x Not Applicable
Name: Name:
Address: V Address:
City: J 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 Cou nty 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 BEFQRE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER O ATTORNEY BEFORE RECORDING YOU CfOF CIQMMENCEMENT."
I
Signature of Owners Ces 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 instrument was acknowledged before me The forgoing instrument was acknowledged before me
this i-" day of f1. ,I -,l `t- 20 ZO by this t-1—day of_ L� AGES r 20 ZO by
GARY WHIGHAM GARY WHIGHAM
Name of person making statement. Name of person making statement.
Personally Known X OR Produced Identification Personally Known X OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Signat Lary PuWaywialafmJ2015
(Signature c
,`= Notary Public-State of -.
-� 1rR MARY ANN MATONTI
Commis Commission#GG 938I i+Q: Notary Public-State of
. �. - --Ian 2Commission iN. ���._Bonded through National Nota `Y'?a.r My Comm.Expi eG an324,2024
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW I REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE f
COMPLETED
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