HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10/06/2020 Permit Number: ,0\6-(�
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° F#ntial
CEIVED
Building Permit Applicati
Planning and Development Services 2 6 2020
Building and Code Regulation Division Commercial RX
2300 Virginia Avenue, Fort Pierce FL 34982Lucie ounC' ty, PeCIT
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Adding exterior double swing doors -
PROPOSED IMPROVEMENT LOCATION:
Address: 8504 Pensacola Rd, Fort Pierce, 34951
Property Tax I D #: 1301-609-0020-000-2
Site Plan Name: N/A
Project Name: N/A
DETAILED DESCRIPTION 'OF WORK:'
Create exterior opening to backyard and install exterior double swing impact doors.
New Electrical Meter
N/A Second Electrical Meter N/A
CONSTRUCTION INFORMATION:
Lot No. 8
Block No. 2
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters X Windows/Doors _ Pond
_ Electric — Plumbing _ Sprinklers
Total Sq. Ft of Construction: N/A
_ Generator
Sq. Ft. of First Floor:
_ Roof Pitch
N/A
Cost of Construction: $ 10,900.00 Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR: <:
Name Bobbi and Williams Combs
Name: Dave "Harley" Van Ginhoven
Address: 8504 Pensacola Rd
Company: D C Construction & Company, Inc.
City: Fort Pierce State: FL
Address:1916 21 st Ave.
Zip Code: 34951 Fax:
City: Vero Beach State: FL
Phone No. (850) 323-1030
Zip Code: 32960 Fax: (772) 567-4237
E-Mail: bobbijcombs@yahoo.com
Phone No (772) 360-8571
Fill in fee simple Title Holder on next page ( if different
E-Mail harley@ibuildwithcare.net
from the Owner listed above)
State or County License CGC1507644
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 INFORMQT,ION h:.
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: x Not Applicable
Name: ML Engineering
Name:
Address: 2030 37th Ave
Address:
City: Vero Beach State: FL
City: State:
Zip: 32960 Phone (772) 569-1257
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable
BONDING COMPANY: x 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 1 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 lanripr nr an attnrnev hefnre cnmmencinE work or recordine your Notice of Commencement.
3ob4...,
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature Zf Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA // r
COUNTYOF Duval
COUNTYOF !Y�
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
Physical Presence or V Online Notarization
October by
_yl', Physical Presence or Online Notarization
"3 day 2020 by
this 11 day of 2020
this of .i
Bobbi Jean Combs, William Ray Combs
_Da_y . C_ UaK-, G IIh k�JP_A,
Name of person making statement.
Name of person makings ement.
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Timothy Allen Braalcs —
Type of Identification
Type of Identification t
NOTARY PUBLIC
Produced Driver License
Produced
STATE OF FLORIDA
Sh^� �— �"✓ Notarized online using audio -video Comm
nica n Cmirrg GG242011
(Signature of Notary Public- State of Florida)
(Signature of Notary Public- State orid
Commission No. HH8782 (Seal) ' � ��
yy1 t
Commission No�� 2 (Seal)
Notary's Name: Hasnain Siraj
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 576720