HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: 20
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Building Permit Application s
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Planning and Development Services pew ?�?�
Building and Code Regulation Division Commercial Resideft 2
2300 Virginia Avenue, Fort Pierce FL 34982 F(e f9yent
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Todd Welsh
PROPOSED "IMPROVEMENT LOCATION: '
Address: 221 Olive Ave, Port St Lucie, FI 34952
Property Tax ID #:, 3419-510-0277-000-3
Site Plan Name: Welsh Storage Room
Project Name:' Storage'Room
DETAILED DESCRIPTION OF WORK:,
Enclose a screened porch for storage only no A/C adding 1 window, 1 door & 1 outside light
New Electrical Meter Second Electrical Meter
CONS. TRUCTLON INFORMATION:
Lot No. 46
Block No. 19
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 Pitch.
Total Sq. Ft of Construction: 162
Cost of Construction: $ 2000.00
Sq. Ft. of First'Floor:
Utilities: —Sewer —Septic Building Height: _
OWNERAESSEE; ;
CONTRACTOR:
Name Todd Welsh
Name: N/A
Address: 221 Olive Ave
Company:
City: Port St Lucie State: _
Address:
Zip Code: 34952 Fax:
City: State:
Phone No. 561-512-9330
Zip Code: Fax:
E-Mail: doltran@bellsouth.net
Phone No
Fill in fee simple Title Holder on next page (if different
E-Mail
from the Owner listed above)
State or County License
it value or 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.
1• SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: Paul Welch
Address: 1984 SW Biltmore St # 114
City: Port St Lucie State: FL
Zip: 34984 P h o n e (772) 785-9888
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: _ Not Applicable
Name: Quicken Loans
Address: 1050 Woodward Avenue
City: Detroit State: MI
Zip: 48228 P h o n e: (800) 508-0944
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 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 attor ore com encing work or recordin>; vour Notice of Commencement.
Todd Welsh a®"w", e°wTWW°
'Data:20.ro.00 ]113:18:f0-0IW
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF St Lucie y (
COUNTY OF
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
Pbvsical Presence or Online Notarization
Physical Presence or Online Notarization
this day of 2020 by
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this day of 2020 by
_
Name of person making state ent.
Name of person making statement.
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identificatio
Type of Identification
Produced C,,
Produced
(Signature of Nature
of Notary Public- State of Florida )
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Commission No. (Seal)
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REVIEW
DATE
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DATE
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Rev. 5/o/210