HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: SEPT,9 2020 Permit Number:ST. LILIICII�: -o(�-� �I''�'�� •L•
_ RECEIVED-
S
SEP t 0,2010'•- -
Building Permit Application
Planning and Development Services .- Permltt►ng Department
St. Lucie County
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:
Address: 7302 ARTHU:RS RD. FORT-PIERCE FL: 3495.1. .
Property Tax ID#: 1301'-602-0094-000-0 - Lot No.25
Site Plan Name 1302 ARTHURS Block No: 14
7302 ARTHURS RD.
Project Name:
[DETAILED DESCRIPTION OF,WORK:
TEAR OFF OLD ROOF,INSTALL SHINGLES AND-.FLAT
New Electrical Meter Second Electrical Meter "
CONSTRUCTION INFORMATION:-
Additional work to be performed under this.permit-check all that apply;
_Mechanical- _Gas Tank as Piping;' _Shutters _Windows/Doors`-- _Pond',
—Electric . _Plumbing _Sprinklers __Generator _Roof" Pitch,
Total Sq. Ft of Construction: u1a33 Sq. Ft. of First Floor:
Cost'of Construction: $ 18000.00 Utilities: Sewer _Septic Building Height:
OWNER/LESSEE; CONTRACTOR:
Name GERTRUDE BRUNNER. ' ' Name:JOHN-G CANNON
Address 730RART,,HUAS R'D Company.-JOHN=G CANNON- =`
City''.FORT'PIERCE.- FL =;`S#ate: Address-7901 CITRUS,PARK.BLVD
34951 FORT PIERCE.: FL
Zip.Code:. .Fax: City- FORT State. .
772'464-2308 _- - t 34951 _, 772-468-0272
PhoneNo. . Zip Code:: Fax:
E-Mail-. Phone No.7.72-468-0202 CEL772-201-1771
Fill in fee simple Title Holder on next page(if different E-Mail19Cahnonrodf C ICloud coo'
from the Owner listed above)' State-or County License CCC1330664 -
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.
SUPPLEMENTAL CONST,RUCTI,ON [E ' SLAW INFORMATION
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.
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 attorney before commencing work or recording our Notice of Commencement.
Signatu of Owner/Lessee/Contractor as Agent for Owner Sign ture of Contractor/License Holder
CC
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ST i_ucIE COUNTY OF ST LUCIE.
Sworn to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
Physical Pre nce o Online Notarization Physical Pres rice or Online Notarization
this�day of �1� .2020 by this�day of 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
Produce Produced
Ck
(Signature of Notary uli -State of Florida ) (Signature of Notary P
" KAREN S. NIELSEN
o,"�`r°,,8�, KARE��l,�1 NIELSEN .�o•"r°�B%
Commission No. - tate of ftif AL-Notary Public Commission No. _A° ,State of.F(&W)Notary Public
'c Commission # GG 207484 oc Commission # GG 207484
M Y Commis s i q n F:w r,i t I My Commission Expires
June 1 , 2022
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