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HomeMy WebLinkAboutBuilding permit application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: `�`l, �^�� �� � Permit Number: ��'Z,1�_)�Y [LUCIR O Building Permit Application Planning and Development Services 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: FRt3Pfl`SE©fNtPR{flUNTLCCATI"C?N .P t Fkr s r Address: TBA HATCHER STREET, FT. PIERCE, FL. Property Tax ID#: 2429-601-0013-000-2 Lot No. 13,14,15 Site Plan Name: JEMISON (FLORENCE M. HATCHER S/D Block No. 1 Project Name: JEMISON RESIDENCE r ��(�ER �,r�, �pZ�y 1�bf4I�� ��'*�:` � fi"' r �xs;�m/3 ��'f'fix£��� G S `� at✓" ��w' '�P� '� y"F°; � CONSTRUCTION OF A SINGLE STORY CBS RESIDENCE 0 AV-0 Qlo--.� (x-am - New Electrical Meter YES Second Electrical Meter " SON-STRUCTlON INFOI�i1/1ATION y 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: 1739 A/C AREA Sq. Ft. of First Floor: 1739 A/C AREA Cost of Construction:$ 175,000.00 Utilities: —Sewer _Septic Building Height: 18' # UtfNERf�.E55E£ � Y `� CONTRACTtJR 4sLr afP Name RICHARD JEMISON Name:PAUL KUHN Address:P.O. BOX 5616 Company:HERITAGE CONTRACTING SERVICES, INC. City: FT. PIERCE, FL. State:_ Address:4900 CONLEY PLACE Zip Code: 34954 Fax: City: FT. PIERCE State:FL Phone No.(772)215-5623 Zip Code: 34951 Fax: N/A E-Mail:dchardjemison@gmail.com Phone No(772)216-6612 Fill in fee simple Title Holder on next page(if different E-Mail paul.k.hcs@gmail.com from the Owner listed above) State or County License CGC 1507158 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. �UAPI:EMEN�"AL,�C�4N5�� UCTtQN�L� N LAW IN�QRMATIQN — pp MORTGAGE ,.. DESIGNER/ENGINEER: Not A Applicable COMPANY: Not Applicable N am e:RICHARD JEMISON Name:TRUSTCO BANK Address:P.O.BOX 5616 Address: 951 SE FEDERAL HWY City: FT.PIERCE State: FL City: STUART State: FL Zip: 34954 Phone(772)215-5623 Zip: 34994 Phone:(772)286-4757 FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: x Not Applicable Name:RICHARD JEMISON Name: Address:P.O.BOX 5616 Address: City:FT.PIERCE,FL. City: Zip: 34954 Phone:(772)215-5623 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 ciK—an-Nattorney before commencing work or recordi_ng your Notice of Commencement. Signatur o e Less a Contr &tor as gent for Owner Signature of Contractor/License Holder ST E OF ORIDA 11 STATE OF FLORIDA COUN OF �� l Qt COUNTY OF C ` L SwoVrto(or affirmed)and subscribed before �#, Sworn to(or affirmed)and subscribed before me of V Ical Pres ce or .Online Nota c Physical Presence or Online Notarization this ay of 2020 c-4 this_&_Ldayof 2020 by .16 ar - cam�n Name of person making statement. cc by Name of person making statement. NN Personally Known OR Produced Ide _ Personally Known OR Produced Identification Type c Ide t'Ifi ig5 C,3�r ,3 y Type of lddentificatio Produced E- ,,✓LJ l � �- �u (Signature of Notary Public- //State of Florida (Signature of Notary Public-State of Florida) Commission No. — b211� (Seal '�r'V' Commission (Seal) ELLEN VAUGHN.tP UB. �: on a- otary Public REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETA C P* A 10 O F o MI s I r s COUNTER REVIEW REVIEW REVIEW REVIE RE VI Wtobe 22, DATE Y. RECEIVED DATE COMPLETED Tev.5/6/20