HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date
ST. L(.1CIE
Permit Number: C: 0 0 • t
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: Siding
PROPOSED 1MPROUEM-ENT
Address: 8280 Andrews Avenue, Fort Pierce FL 34945
Property Tax ID #: 2323-601-0004-000-1
Site Plan Name:
Project Name: Giddens Siding
DETAILED DESCRIPTIONOF
Install housewrap and new siding over existing T-11 plywood siding
New Electrical Meter Second Electrical Meter
,ON STRUC�TI, ,NFORMATION
Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters
_ Electric _ Plumbing
Total Sq. Ft of Construction: Wood
Cost of Construction: $ 7400
_ Sprinklers _ Generator
Lot No.
Block No.
_ Windows/Doors _ Pond
Sq. Ft. of First Floor:
Roof Pitch
Utilities: —Sewer —Septic Building Height:
01NNER/.LESSEEr - _
CONTRACTOR x
_..
Name Melenee Giddens
Name: Kevin Firestone
Address: 8280 Andrews Ave
Company: Firestone Construction Inc
City: Fort Pierce State: _
Address: 2183 S Brocksmith Rd
City: Fort Pierce State: FL
Zip Code: 34945 Fax:
Phone No.
Zip Code: 34945 Fax:
E-Mail:
Phone No 772-216-9379
Fill in fee simple Title Holder on next page ( if different
E-Mail firestonecost@gmail.com
from the Owner listed above)
State or County License CGC1510180
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.
SUPPLE1MEN1`AL"CONSTRUCTION�LIEN`LAIN
INFOR`MATION'F¢`f
_, :...
DESIGNER/ENGINEER:
X Not Applicable
MORTGAGE COMPANY:
X Not Applicable
Name:
Name:
Address:
Address:
City:
State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
X Not Applicable
BONDING COMPANY:
x 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, sigis, 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.
Lucid ra
County and posted on the jobsite before the first inspect' n. If you intend to obtain financing, consult
wit lender n attorney before commencine work or recor InH vour N'olic6lof Commencement.
Si nature of Owner/ Lessee/Contractor as Agent for Owner
Sign ure of Contractor/License Holder
STATE OF FLORIDJ§ �
STATE OF FLORID/O
COUNTY OF �'Jr��,{ t" �
COUNTY OF ��X 1k, Icast
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
Physical Presen a or Online Notarization
Physical Pr ence or Online Notarization
this � day of 2020 by
this � day o 2020 by
Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identifications
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
P duced
Ca
Si ature of N tar}(d , ic-
�SygtTaTlMe of Notary Pub State of Flori )
o.....,g ; HNA INGRAM-RAHMING
": e�Q LASHAHNAIN RAHMING
Commission No. :' c . lam)
#_ MY,COMMISSION
Commission N x •e: (�atpa060
'.. ES: December
MY COMMISSION # GO 275060
FF,oP,: 20, 2022
:A'• : a EXPIRES: December20, 2022
Bonded Thru Notary Public I annriter.
Bon
edThruNotaryPubli
Underwriters
-
REVIEWS
I OR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 5/b/ZU