HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST
BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: li 11 v Permit Number:
91T.
O
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential Yes
2300 Virginia Avenue, Fort Pierce Ft 34982
Phone: (772) 462-1553 Fax: (772) 462-157.8
PERMIT APPLICATION FOR:
PROPOSEU.IMPROVEWENT,L-OCATION . +'
Address: 11690 Palomino Drive Saint Lucie County, FI.34987
Property Tax ID #: '3309-605-0037-000/2 Lot No.34
Site Plan Name: Pony Pines Block No. A
Project Name: John Murtagh
DETAILED DESCRIP `6kN OF WORK
Shed Wo' k p 0,nc rp_i-�o_ 4�lQI� ✓0 K EI 4F 49
New Electrical Meter No Second Electrical Meter
FCONSTRUCTION°I'NFORMATION.
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors
_ Electric _ Plumbing _ Sprinklers _ Generator _ Roof
Total Sq. Ft of Construction: 1500 Sq. Ft. of First Floor: 1500
Cost of construction: $ 20,000.00 Utilities: _ Sewer _ Septic Building Height: 12 ft
Pond
Pitch
OWNER/LESSEE:,
CONTRACTOR +,Rt .f•n�u
NameJohn Murtagh & Cherrie Lafond
Name:John Murtagh & Cherrie Lafond
Address:5268 Nw West Lovett Circle
Company:
City: Port Saint Lucie State: _
Address:5268 NW West Lovett Circle
Zip Code: 34986 Fax:
City: Port Saint Lucie State: FI
Phone No. 772-333-6907
Zip Code: 34986 Fax:
E-Mail:blessedmomm2l@gmall.com
Phone N0772-333-6907 954-830-8566
Fill in fee simple Title Holder on next page ( if different
E-Mailfree.johnny6@gmail.com
from the Owner listed above)
State or County Licenseowner contractor
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.
;tea •4 a,
M ti
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TNot
MORTGAGE COMPANY: _ Applicable
DESIGNER/ENGINEER: _ 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 public records of St.
Lucl ounty and posted on the jobsite before the first inspection: If you intend to obtain financing, consult
.;&L --++-r--i hef^rd ...,..%md%nrine work nr rcarnrrlino vnttr Nntir_e of Commencement.
Signatu a of Owner/ L ssee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF S k .
COUNTY OF
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
Physical PrPcencP nr Online Notarization
Physical Presence or Online Notarization
th_i-L�, day of SR,,P . 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
Produced_Z.2, , >�
Type of Identification
Produced
—11
„EMIAMME GIVENS
,(Signature of No :: St
46, 2020
(Signature of Notary Public- State of Florida )
( g ry
i :;� EXPIRES: pecem r
P.�' n ?Fvu Note pubt1. Undenxdte+s
Commission No.
Commission No. (Seal)
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SUPERVISOR
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COMPLETED
Kev. S/b/LU