HomeMy WebLinkAboutimg076All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10/7/20 Permit Number: 2009-0660
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue, Fort Pierce FL 34981
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: POOI Demolition
PROPOSED IMPROVEMENT LOCATION:
Address: 2207 N. 51st Street Ft.Pierce, FI. 34946
Property Tax iD»: 14.31-701-0219-000-0 Lot No. 5,5 and 7
Site Plan Name: Block No. M
Project Name: Sirmons Residence
DETAILED DESCRIPTION OF WORK:
Demolish existing pool and concrete slab
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
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 Pitcii
Total Sq. Ft of Construction: 600 sgft
Cost of Construction: $ 5,000
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Mary Sirmons
Name: Darweshi Roberts
Address: 2207 N. 51st Street Ft. Pierce, FI. 34946
Company: D Roberts Construction LLC
City: Ft. Pierce State: _
Zip Code: 34946 Fax:
Phone No. 772.971.9285
Address: 2009 SE Madison St.
City: Stuart State: FI
Zip Code: 34997 Fax:
Phone No 772.284.5569
E -Mail: Sirmons222@gmai1.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E -Mail Darweshi@drobertscd.com
State or County License
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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER ENGINEER: r 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 thepermit 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. 1f you intend to obtain financing, consult
..trL. I.....i#.+ nm v kafnru rnmmcnrino wnrlr nr rarnrdinv vnur Notice of Commencement.
Signature of Owner/ Lessee/Contractor as Agent or IIwner Signature of Contractor/License Holder
STATE OF FLORIDA_ STATE OF FLORIDA 1.
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COUNTY OF ST Lk Cie, COUNTY OF S(X ICt f✓
Swo> to (or affirmed) and subscribed before me of Sworn to (or affirmed) and subscribed before me of
L,� Physical Presen a or Online Notarization i. sical Presence or Online Notarization
day 2020 by
this day of 2020 by this of
Name of person making statement. Name of person making statement.
Personally Known /OR Produced Identification Personally Known ✓ OR Produced Identification
Type of Identi is ion Type of Identification
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Produced �-` Produced—
A 1 PGS Joanna Ghristine
1 !
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(Sign re of Notai RtfRft/#ibhC-StateoiFlorida (Signature f Notary Public-WFF
+ Commission#GG98648 Expires4/271202Commission No. EAPM04/2712021 Commission No. wed through Cyna
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REVIEWS FRONT ZONING SUPERVISQR PLANS
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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