HomeMy WebLinkAboutPERMIT APPAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10/20120 Permit Number:
Building Permit Application
Planning and Development Services
Building and Cade Regulation Division
2300 Virginia Avenue, Fart Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Commercial X Residential
PERMIT APPLICATION FOR:Camco Sales Inc.
PROPOSED IMPROVEMENT LOCATION:
Address: 3778 Selvits Rd. Ft. Pierce FI. 34981
Property Tax ID #: 2429-331-0004-000-8
Site Plan Name:
Project Name: Southern Gunite
DETAILED DESCRIPTION OF WORK:
Re -Roof, Remove existing PBR roof panels and trim. Replace with New PBR Roof and trim
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Lot No,
Block No.
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 AKRoof !�A Pitch
Total Sq. Ft of Construction: 5850 Sq. Ft. of First Floor:
Cost of Construction: $ 34,000 Utilities: _ Sewer ` Septic Building Height: 21'
OWN ER%LESSEE: CONTRACTOR:
Name Wild Rentals LLC Name:Cameron Cooper
Address: 3121 S. Indian River Dr Company: CAM CO Sales Inc.
City: Ft. Pierce State: _ Address: 12575 164th Ct. N.
Zip Code: 34982 Fax: City: Jupiter State. Fl.
Phone No. 772 216-7770 Zip Code: 33478 Fax:
E-Mail:2rbwild a@gmail.com Phone No561 510-4581
Fill in fee simple Title Holder on next page ( if different E-Mailcamco19 9@bellsouth.net
from the Owner listed above) State or County License CCC 042804
vauc u. WIMIUc,uun n c:)uu or more, a KtLUKUtu 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
MORTGAGE COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
BONDING COMPANY: Applicable
Name:
_Not
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:.
AfAlllC�/N11A17nAi+rAea wr..w......
v --v UM i RAL 1 VR Arriuv1 t : 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.
Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lender or an attorney before commencing work or recordin ou- otice of ConnDX41C6--lent.
re of
as Agent for Owner I -Signature of
STATE OF FMIDA STATE OF FtO'RIDA
COUNTY OF Vsitu'+. L1 COUNTY OF—kctr,n
Holder
Sworr�to (or affirmed) and subscribed before me of Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization —'Physical Presence or Online Notarization
this 1 day of _ L'c-} a if 2020 by this Z3 day of .2020 by
Cz+c i L .moi,% 2
Name of person making statement, Name of person making statemen .
Personally Known OR Produced Identification ____ Personally Known OR Produced Identification "j
Type of Identification V."P. kl25r,?ZL�. Type of Identification
Produced �G T I i ce-'st clbo- ltiU lot- M -v Produced c4ctva?� LI�enS le
c7i
(Signat a of Notary Public- State f Fjpr ) Na" purjw St" 4* dna of Nota Public- State o Flor[dq�}
Nancy Benedetto to `s. Notary Public Sista
Commission No. �%�2li S I My, Commission HH 0 2E00 i Nancy Benedetto
�br; )ExpiresW1612024 Commi ion No. � (! f �%�LA10 s ��d I f!0�+►�misaionHH
_ _ _ _ _ _ _ o _ �+�y xa`rtpire� Dtilt$12024
REVIEWS I FRONT
COUNTER I ZONING REVIEW REV] SUPERVISOR REVEW E EW VEGETATION S REVIEW LE I MANGROVE REVIEW
RECEIVED
DATE
COMPLETED