HomeMy WebLinkAboutHayes, Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1 0 Z -(P l Zb Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential %Q
I PERMITTYPE: Door rr_pJ6(.emen�_
Address: (d e-i-i'Y V +• i2l CAL C?
Property Tax ID #: azV 09_- gd Z ' 1 - QQ - F Lot No. 17 / is
Site Plan Name:
Project Name:
Block No.
Additional work to be performed under this permit- check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters _ )id Windows/Doors
Electric _ Plumbing _ Sprinklers _ Generator — Roof Pitch
Total Sq. Ft of Construction:
Sq. Ft. of First Floor:
Cost of Construction: $ Utilities
Name
Address: 24
City: State: rL
Zip Code: 2 Fax: ill a) "ir to 14
Phone No. L 71 a 91
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Sewer _ Septic Building Height:
Name: Gary Whigham
Company: South Florida Aluminum Products
Address: 4807 S US HIGHWAY 1
City: Fort Pierce State: FL
Zip Code: 34982 Fax: 772-466-1074
Phone No 772-466-0913
E -Mail sfapbooks@soflalum.com
State or County License 1330
IT vaiue of construction is X2500 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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Name: iron (f } 11d1enG1LY�11,9')
Address: SfpO! fI1 a.t'rl'�Q�1'
Not Applicable
St . Std. Z4D
MORTGAGE COMPANY: x Not Applicable
Name:
Address:
City: 7aarrlic"PI
Zip: 0�9 Phone $ll3
State: F1,
— ?7 q— gy03
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
x Not Applicable
BONDING COMPANY: x Not Applicable
Name:
Address:
this A]rday of 20 7 by
Address:
City:
GARY WHIGHAM
City:
Zip: Phone:
Personally Known X OR Produced Identification ,,.
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 YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU JNT _:FO ,OBTAIN FINANCING, CONSULT
WITH-Yil1UR,LEkDER OR AN ATTORNEY BEFORE RECORDING YOUR--N6T10E--dF COMMENCEMENT."
ev. 2
Si nature of ner Lessee/Contractor as Agent for Owner
Signed -Co (cense Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF ST- LUCIE
COUNTY OF ST. LUCIE
The forg ing instrument was acknowledged before me
The forgo'U instrument was acknowledged before me
this A]rday of 20 7 by
this-Xday of C7 4ybe�r - 20,10 by
GARY WHIGHAM
GARY WHIGHAM
Name of person making statement.
Name of person making statement.
Personally Known X OR Produced Identification ,,.
Personally Known x OR Produced Identification
Type of Identification
Type of Identification
Produced
1
Produced
(Signature of N
(Signature of
�+t " Notary Public State o1 Florida
Commission No. Emily N Hicks(SeaI
��' Nolsiy Public SwIt Of Florida
Commission N Emay N Hlake (seal)
rnrssaon HH 037511
F Expires 08130/2024
iisrg0 HH 037511
�, Ertplrcl 08130x2®24
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 2