HomeMy WebLinkAboutBuilding Pernmit Application Y
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 9/15/20 Permit Numb
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UBuilding Permit Applicat :; r1- r r rn 8
Planning and Development Services Ll C I C-1 'CC,i I E-i L•�;r (_
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: Exterior Metal Door Replacement
PROP,OSED,;I,MP.ROVEMENT LOCATION,.
Address: 411 S.2nd street Fort Pierce, FL, 34950
Property Tax ID#: 2410-808-0012-0002 Lot No.
Site Plan Name: State Attorney Building Block No.
Project Name: State Attorney Building Exterior Door Replacement
DETAI`LED'DESCRIPTION !OF-WORK !'',;
Replace 6 exterior hollow metal doors.
New Electrical Meter Second Electrical Meter
CON - RUCTION`'INFOR-MATION
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: Sq. Ft. of First Floor:
Cost of Construction: $ 47,200 Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:. CONTRACTOR:, .
Name St. Lucie County B.O.C.0 Name: Andrew Thomas
Address: 2300 Virginia Avenue Company: A Thomas Construction Inc.
City: Fort Pierce State:_ Address: PO-Box 3285
Zip Code: 34982 Fax: City: Ft. Pierce State.FL
Phone No. 772-462-1100 Zip Code: 34948 Fax:
E-Mail: Phone No 772-216-5898
Fill in fee simple Title Holder on next page(if different E-Mail
from the Owner listed above) State or County License CGC1522275
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.
I
SUPPLEMENTAL CONSTRUCTION LIEN LAIN INFORMATION
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _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 publicrecords 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 recordirW your Notice of Commencement.
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Signature of Owner/Lessee/Contractor as Agent for Owner Sign atur of Intra or/License Holder
STATE OF FLORIDA STATE OF FLORIDA '
COUNTY OF 5 211-. COUNTY OF (5T JJ_LC.L-U
Sworn to(or affirmed)and subscribed before me of Sw rn to(or affirmed)and su cubed before me of
Physical Presence or Online Notarization Pisical Presence or Online Notarization
this 1 5 day of 5e J- 2020 by this 2 5 day of 2020 by
Name of person making statement. Name of person m ki statement.
Personally Known OR Produced Identification Personally Known OR Pro
Type of Identification Type of Identification ��,,,,,,, FAYE FITZPATRICK
roduced �L p L Produced ���pYP°e'. ary Publlc-state of Florid
�+ += ornmission#GG 356656
' My Commission Expires
u list 24,2023
(Signature of Noy
�w"• DEANNA IEGIVI:NS l re f Pu li
�= COMMI io Commission No.00022023
Commission No. Y
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. IRES:=er 16,2020 (Seal)
o "Q;;,,t°PAS Unded Ttuu Notary Publlc Undwwrlh-I
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW. REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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