HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST -BE COK�1e,11) FOR APPLICATION TO BE ACCEPTED
Date: 11/10/2020 Permit Number: -CP- 0 t i
91T. LUCE
0
. . . . . . . . . . . . ........
�Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
M
I PERMIT APPLICATION FOR: Duane Bowman I
Address: 6505 Ft. Walton Ave
Property Tax ID #: 1301-612-0098-000-9
Site Plan Name: Lakewood Park -unit 10
Project Name. Bowman's:resident
V ESCRIPTION _0 WORKY
).
en Cabinets, Bathroom futures, Drywall -Ceilings and a few walls, and attic a/c,duct.
I n . A e- /
New Electrical Meter
Second Electrical Meter.
. i
CONSTRUCTION INFORMATION
I
Additional work to be,performed under this. permit -check all that apply;
—Mechanical Gas Tank Gas Piping Shutters
V Electric XPlumbing Sprinklers Generator
Total Sq. Ft of Construction: 600 sf I Sq. Ft. of First Floor:
Cost of Construction: $1155r6O Utilities: —Sewer Septic Building Height:
Lot No. 18
Block No. 122
Windows/Doors Pond
Roof Pitch
,,--,;
OWNER/LESSEE
NT:
Name Duane Bowman
Name: Owner/Bu.ilder
Address:6505 Ft. Walton Ave
Company:
City: Ft. Pierce, Fl State:
fAddress:
Zip Code: 34951 Fax:
City: State:
Phone No. 772-577-9368 1
Zip Code: Fax:
E-Mail:bowmandc36@gmail.com
Phone No
Fill in fee simple Title Holder on next page if different
E-Mail
from the Owner listed above)
State or County License
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 RECORD I ED Notice of Commencement is required.
.sv. ,� �
5UPPLEIVjNTL�5NNS��RUC7�[IQN�L1�/{NFQR1V��li
�. .'Y - � ,a°-, �� M s'k' Y � �" i � 3 ✓it 3
{«
��`-.,
�..xR�•s�
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:
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. 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 recordine your Notice of Commencement.
ctor as Akent for Owner
STATE OF FLORIDA
COUNTY OFF-Lu��a ,
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this jj `lay of A961/ 2020 by
Name of person making statement.
Personally Known OR Produced Identification
Type of Identification
Produced_
(Signature of Notary PubV- State of Florida )
Commission No.
ELLEN VAcU�tG�rH�N
imisss own #N'r,I,;n
REVIEWS
RECEIVED
DATE
COMPLETED
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this day of 2020 by
Name of person making statement.
Personally Known OR Produced Identification
Type of Identification
Produced
(Signature of Notary Public- State of Florida )
Commission No. (Seal)
REV EW NS I VEGETATIEV EWON I SEA REVIEW EWLE M EV EWVE