HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 4/12/2019 Permit Number:
A%
Building Permit ?ore Applicatiofsfi/t, oe
Building and Code Regulation Division co Y ant
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT TYPE: RESIDENTIAL REMODEL fc� ,n
PROPOSED INP�20UEIVIENT LOCATION::°°� ✓� 3 `3
Address: 2414 N 53 RD ST FT PIERCE FL 34946
Property Tax ID #: 1431-701-0052-000-8
Site Plan Name:
Project Name: O'CARROLL REMODEL
Additional work to be performed
/,�O Mechanical " _ Gas
Lot No. 12
Block No.
under this permit — check all that apply:
ink _ Gas Piping _ Shutters J4 Windows/Doors
>4 Electric )O Plumbing
Total Sq. Ft of Construction: 2286
Cost of Construction: $ 150,000.00
_ Sprinklers
_ Generator Roof Pitch
Sq. Ft. of First Floor: 2286
Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE 4 ��
CONTRACTOR
Name MICHAEL P O'CARROLL
Name: MICHAEL J WALDROP
Address: 2414 N 53RD ST
Company: INNOVATION CONTRACTING INC
City: FT PIERCE State: _
Address: PO BOX 12757
Zip Code: 34946 Fax:
City: FT PIERCE State: FL
Phone No.
Zip Code: 34979 Fax:
E-Mail:
Phone No 772-519-9108
Fill in fee simple Title Holder on next page ( if different
E-Mail MWALDROP@INNOVATIONCONTRACTING.COM
from the Owner listed above)
State or County License CGC1511910
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
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DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY:
�O Not Applicable
Name: ARCHITECTONIC INC
Name:
Address: 806 DELAWARE AVE
Address:
City: FT PIERCE State: FL
City:
State:
Zip: 34950 Phone 772460-7751
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 Commencemen�e-orde'd
ult in your paying twice for
improvements your property. A Notice of Commencement must b and posted on the jobsite
before the fi inspection. If you intend to obtain financing, consult i lender or an attorney before
con menci work or recudina your Notice of Commencement.
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ure of Co ractor/License old
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ture of O essee/Contractor as Agent for Owner
:TAXTE
OF FLORIDA
COUNTY OF aT UA =
STATE OF FLORIDA
COUNTY OF
The forgoing instr ent was acknowledged before me
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The for oing instrument was acknowledged before me
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this \`a day of 20k9 by
this day of 20 by
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Name of person making statement.
Name of person making statement.
PepseRally R Produced Identification"U_L`
R Produced Identification
Type of Identification
Produced �1 k>V \5* W4 3% SSo l-t> 4-440
Type of Identification
Produced Q1. F�-- W 3b 5 _To C(W-o
(Signat rgpJ a orida)
(Signature of N ,lialEN YfM11Jr jT
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*. ;;; Commission 0 GG 160647
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REVIEWS
FRONT
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SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
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Rev.9/26/18