HomeMy WebLinkAboutRevised Building Permit Application r
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ^
Date: // ti'.Z O2 O Permit Number: 0•CJ.�
RECEIVED
91r° [LUC NOV 0 6 1020
0
Permitting 0 0 _ - w�-
� ..,,- .. tdng Department
Building Permit Application St. Lucie Counb/
Planning and Development Services
Building and Code Regulation Division Commercial X Residential
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax: (772)462-1578
PERMIT APPLICATION FOR:
PROPOSED IIVIPROVEME.NT LOCAT,...I�N ;m T
Address: 3 77 9 Se I t i /Z.0. f F.
Property Tax IDM `I 9 - 33 (- 006 Lt - 00 0 - g Lot No.
Site Plan Name: 11 Block No.
Project Name: So fig-e te
DETAIL-ED DESGRIPTION:OFWORK:r
bd 14 kp/hDve- i� dJ f0d 4qe (S
New Electrical Meter Second Electrical Meter
CbNSTR;UCTIN 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 ZRoof I V 12- Pitch
Total Sq. Ft of Construction: "!�_8 S-O Sq. Ft. of First Floor:
Cost of Construction:$ 000 Utilities: —Sewer —Septic Building Height: 9 /
OWNER%LESS.EE 3 CONTRACTOR:
Name bJ t Name: / 7. SAL Ar
Address:.3/.2, S_ ,L�c�;a n rilr� 1�� Company: h 1CKE,25DN rf QkJP2 0-
city: I—%- ) c State:,L Address:S19% N. �26'� 5T.
Zip Code: 3 `/ ?F Z Fax: city:FT.O1g C,� State: Ft..
Phone No. -77-2-- 9-1 C, - '777 d Zip Code: Fax:-112
E-Mail: 2 r I L.,j;I eQ F)fia r'f �o�, Phone No '77cl l��q t�[�t�t�
Fill in fee simple Title Holder on next page(if different E-Mail
from the Owner listed above) State or County License ('.0 C O 1 PQ'7 9 7
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.
SU:PPLEMENTALCONSTRUCTI;ON LIEN LAW INFORMAaTION
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: 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 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 recording our Notice of Commencement.
01
tl_g_na'A'��r&"of Owner/ essee/Contractor as Ageriffor Owner Stgnat r=FRIDA
ctor/License Holder
STATE OF FLORIDAL
— STATE
COUNTY OF • 1�.1(,,►[_ COUNTY OF ST. L(,615
Swor to(or affirmed)and subscribed before me of SwoFh to(or affirmed)and subscribed before me of
Physical Presen a or Online Notarization ✓ P y5ical Presence or Online Notarization
this day of 2020 by this-& dayof_ 2020 by
O)n R_1__ E JAI, LD Ldge!l _�
Name of person making statement. Name of per on making statement.
Personally Known ► OR Produced Identification Personally Known V OR Produced Identification
Type of(dent1 tion Type 24 Identification
Produced V— b L n ProgruVed
(Signature o (Signatu Notary u - o
�4.� Notary Public rate of Florida
;;wYP�ao, KAREN S. NIELSEN
:State of Florida N Antoinette pP tof�n
Commission e� ion # G� allPublic Commission No. yCommis� RGQ246587
20 484 aR Expires08l28/20Z2
My Commission Expires
�am�a
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.
RECEIVED
11-6-2020
Carl E. Wild NOV 0 6 -2020
4001 Selvitz Road
Permitting Department
Fort Pierce, FL. 34981 St. Lucie County
St. Lucie County
Planning and Development Services Dept.
Building&Code Regulation Division
Dear Building and Regulation Division:
When this building Permit Application was originally submitted for roof replacement it was
submitted by a licensed roofing contractor instead of a General Contractor.
The new application has now been submitted by a General Contractor as per SL County
requirements.
Please let us know of any further information that may required to obtain this permit.
Thank you,for your time and consideration.
Si rely, -1
w
Carl E. Wild