HomeMy WebLinkAboutApplication P1 & P2All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 9/912020
Permit Number:
0URI
V Ow9mu it Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial x Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:InStallation Of masonry Walls
PROPOSED IMPROVEMENT LOCATION:
Address: 4501 Orange Ave Ft Pierce FL
Property Tax ID #: 2407-412-0001-000-7
Site Plan Name: Orange Ave RV Storage
Project Name: Ft. Pierce RV & Boat Storage
DETAILED DESCRIPTION OF WORK:
Install 1365 LF of 8' precast wall and columns as highlighted on site
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all that apply:
Mechanical
Electric
_ Gas Tank
_ Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 121,120.00
Gas Piping
_ Sprinklers
Lot No.
Block No.
_Shutters _ Windows/Doors _ Pond
_ Generator _ Roof Pitch
Sq. Ft. of First Floor:
Utilities: _ Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Sobe 34949
Name: Dean J. Locke
Address:205 N. 3rd ST.
Company: Seminole Masonry
City: Grand Forks State: _
Zip Code: 58203 Fax:
Phone No.701-775-3325
Address:3850 E. Lake Mary Blvd
City: Sanford State: FL
Zip Code: 32773 Fax:
Phone N0407-971-2464
E -Mail: Keith@equitymgmnt.biz
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E -Mail Permit@seminolemasonry.com
State or County LicenseCGC1525688
It 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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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNE /ENGI ER UNot Applicable
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ORTGAGECOMPANY: NotAppliiicableName:
Name:
Addres .Z /Y
Address:
City: State:
Zip:? phone
an �g I_/oOQ
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: -Not Applicable
Name:
BONDING COMPANY: Not Applicable
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.
I certify that no work or Installation has commenced prior to the Issuance of a permit.
St. LucieCountyV 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 Commenc ent must be recorded in the public records of St.
Lucie County and posted on the jobsite before the first Ins coon. If you intend to obtain financing, consult
with lender or an aattorne b=commencIn work or rec dinR vour Notice of Commencement.
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Signature of Owner/ Le ee/Contractor as Agent for Owner
Signa! r cntractor/License Holder
STATE OF FLORIDAT
COUNTY OF � • L'tC'f O
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STATE OF FLORIDA ^
COUNTY OF_,, J,Q.rYt�7+AiG.
Swor or affirmed) and subscribed before me of
__ rysical Pre nce or _ Online Notarization
this day of .rvsbe.r . 2020 by
SW to for affirmed) and subscribed before me of
✓ toPresence or Online Notarization
this // day of J. y .Y . 2020 by
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Name of person making statement.
Name of person making statement.
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