HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Planning and Development Services
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone:(772)462-1553 Fax: (772)462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION 4
Address: 6727 DULCE REAL
PropertyTax ID#: 1306-501-1129-000-7 Lot No.56
Site Plan Name: SPANISH LAKES FAIRWAY Block No. 73
Project Name:
DETAILED DESCRIPTIONaF WORK
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NEW REROOF 5V METAL
New Electrical Meter Second Electrical Meter
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CONSTRUCTION INFORIViATION - -
Additional work to be performed under this permit—check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors _Pond
_Electric _Plumbing _Sprinklers _Generator _Roof 5/12 Pitch
Total Sq. Ft of Construction: 2000 Sq. Ft. of First Floor: ROOF 2000
Cost of Construction:$ 7500.00 Utilities: _Sewer _Septic Building Height:
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Name REBECCA COCKERHAM Name:JOHN G CANNON
Address:-6727 DULCE REAL Company,JOHN G CANNON
City: FORT PIERCE FL State:_ Address:7901 CITRUS PARK BLVD
Zip Code: 34951 Fax: City: FORT PIERCE state:FL
Phone No. Zip Code: 34951 Fax: 772-468-0272
E-Mail: Phone No 772-468-0202 CEL201-1771
Fill in fee simple Title Holder on next page(if different E-Mail JGCANNON ROOF 9ICLOUD.COM
from the Owner listed above) State or County License 29914
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.
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DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLEHOLDER: ____Not Applicable BONDING COMPANY: —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.
1 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 thepermit 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 Nome 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.
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5ignaure of Owner/Lessee/Contractor as Agent for Owner k ASignure of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF G k L
Sworn to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
Physical Presence or Online Notarization Physical Presence or Online Notarization
this\g day of d•J�_ 12020 by this \ day of dam .2020 by
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of identification Type of Identification
Produced r'-\_;DI-- N Produced �-d
(Signature of Nota ublic-State of Florida) (Signature of Nota P o 1wG
- GIVENg �,.,'`'a. My 51014#GG o22023
Commission No. 81014# 02 2� 020
Commission No.(,4t1 '* EKP �p p„ unberie eena e�
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REVIEWS FROM SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COLIN R REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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