HomeMy WebLinkAboutCooper-4740 S A1A - After the Fact Permit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 4/30/2020 Permit Number:
LL!LLL
L- 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:Unpermitted work
PROPOSED IMPROVEMENT LOCATION:
Address: 6740 N. Highway At A, Ft. Pierce, FL 32949
Property Tax ID #: 1403-120-0003-010-3
Site Plan Name: Cooper Residence
Project Name: Cooper Residence
DETAILED DESCRIPTION OF WORK:
Existing garage converted to a conditioned game room space
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
_ Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction: _
Cost of Construction: $ 94,545
_ Generator
Sq. Ft. of First Floor:
Lot No.
Block No.
-Windows/Doors _ Pond
Roof Pitch
Utilities: —Sewer Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Kenneth L. Cooper
Name: Raymond Darling
Address: 6740 N Highway Al A
Company: Darling Construction
City: Hutchinson Island State: _
Zip Code: 34949 Fax:
Phone No. 772-321-7557
Address: 622 Beachland Blvd, Suite 101
City: Vero Beach State: FL
Zip Code: 32963 Fax:
Phone No 772-978-6502
E-Mail: kcooper@nadentalgroup.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail ramie@darlingcc.com
State or County License CGC#1511825
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: _ Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
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 ermit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or angcovenants 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 Y, result in paying twice for
improvements to your property. A Notice of Commencement mus a recorded in the public records of St.
Lucie County and posted on the jobsite before the first insp If y intend to obtain financing, consult
with lender or an attornev before commencing work or cordi vo4 Notice of Commencement.
Sian5ture of Cont ct r License
Signature of Owner/ Lessee/Contractor as Agent for Owner
`_
STATE OFfLeMrAA.r A'-'St)IVC^;
STATE OF FLORIDA
COUNTY OF f} Ilt
COUNTYOF Tnilrn�/�jrr.�
S%Vprn to (or affirmed) and subscribed before me of
Swo�r+ to (or affirmed) and subscribed before me of
P�,i�ysical Presence or Online Notarization
✓ Physical Presence or _ Online Notarization
his( day of OG4 O T 2020 by
this _2 day of 9)c t 2020 by
ken Goo-P_e�
R ,-1d~ ( yo�rrn
Name of person making statement.
Name of person making stat ent.
Personally Known OR Produced Identification
Personally Known ✓ OR Produced Identification
Type of Identificati n
Type of Identification
Produced
Produced
n PENNSYLVANIA
' ,, O
(Signature of Nota §i kt gla nce County
(Signature of Nota , .....%tWp¢�MIGdSIbN NGG 103312
�sicrEx,.r sJan. 9.2021
Commission No. t PL'ah=„5 NOF NOTARIES
'r:" EXPIRES: May15,2021
COmmI5510n No. ndedThmN 6eBi Ilc Undeiwdiers
iw�.
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 5/6/20