HomeMy WebLinkAboutBuilding permit applicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED p,
n�+o• %a,_ \ \e% � 21_� Permit Number:
SEP 10 *2020
Building Permit Application
L-S—T.- Lucie County, Pern
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
PERMITTYPE:
Address: Q11elD S CCOd7Q[V._ UOIT-71b
Property Tax ID #: ,!J 3-6- -701 _- b055- 000-Li Lot No.
Site Plan Name: GXAA 1111 l&(-111 MI MU-0 A- ME 7//o Block No.
Project Name:
Additional work to be performed under this permit -check all that apply: j
_Mechanical
_ Gas Tank
_ Gas Piping
_ Shutters
%windows/Doors
_ Electric
_ Plumbing
! Sprinklers
_ Generator
Roof Pitch
Total Sq. Ft of Construction: nI ( 12L—
Cost of Construction: $ 1P) { l o _32
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic
Name 140_�IDf o(Z 3ot-1 6+A�7
Address:9Y9D S QW_AA)_02. LW (T -716 04
City: State: FL
Zip Code: -_7-J_jqf:5� Fax:
Phone No.;9 124 446yb?-s
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: JAMES D. DAVIS
Building Height:
Company: J&G CARPENTRY, INC.
Address:13461 79TH CT. N.
City: WEST PALM BEACH State: FL
Zip Code: 33412 Fax: 561-855-4054
Phone No 561-855-4052
E-Mail
State or County License CGCO22831
If value of construction is $zhuu or more, a KtcUKutu Nonce or Lommencemenx is requ►reu.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
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DESIGNER/ENGINEER: x— Not Applicable MORTGAGE COMPANY: _ Not Applicable,
DESIGN
Name: Name:
Address: Address:
City: State: City: State: i
Zip: Phone Zip: Phone:
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FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone: II
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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
is in applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
which conflict with any
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 BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
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Signature of Owner/ Less ee/Co ntra ct9f as Agent for Owner Signat&C&f ontractor/License Holder
STATE OF FLORI22�n,�ln / STATE OF FLORIDA
COUNTY OF //�! M COUNTY OF MLM BEACH
I
The f r9ng instrum}�nt wasknowledoged before me The forgoing instrument was acknowledged before me
20 by
this l/�,day of f�i�tJ by this dayof
r JAMES D. DAVIS
Name of person making statement. Name of person making statement.
Personally Known OR Produced lclentificati%406S Personally Known x OR Produced Identification
Type of lde0t.� at' n GG2 �pe of Identification
Produced `' Commisston# Induced
�` September 2 ,r�
1;�cplres
i°e gpndadTlwBudO�N
OF��
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(Sig natu otary Public- State of Florida) (Sign re of Not ry Public,elf Florid LATIJUNU
Co�mymm ssiopnp# GG 968864
Commission No. (Seal) Commission No. �` oFF�oQ,o4 B�-�o B� 9811om20e4
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
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