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HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 10/27/2020 OU Permit Number: c:;,NQ r(A RECEIVED 91T. o r, OCT 2 7 2020 p '4 Building Permit Application Fermitting.Department St. Lucie County Planning and Development Services Building and Code'Regulation Division Commercial Residential X 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: P,ROPQSED.,IIVIP,R'OVEMENT LOCATION :, Address: 5059 N HIGHWAY AIA 706, FORT PIERCE, FL 34949 Property Tax ID #: 1414-601-0092-000-0 Site Plan Name: Project Name: Bryn Mawr Ocean Towers Building B Unit 706 DETAILED DESCRIPTION=OF WORK :" <: Lot No. Block No. New Electrical Meter Second Ele ical Meter CONSTRUCTION INFORM/�TI !� pN Additional work to be performed under this permit— check all that apply: Ylectric Me hanical GasTank Gas Piping Shutters Windows/Doors Pond lumbing _Sprinklers _Generator _Roof Pitch Total Sq. Ft of Constructions: ��� Sq. Ft. of First Floor: Cost of Construction: $ 7 , Ddy, oD Utilities: _ Sewer _ Septic Building Height: ;'OWNER/LESSEE:,,', CONTRACTOR; , Name Esther Babitz Name: JOHN JACOBS Address: 5059 N AIA APT 706B Company: JOHN JACOBS CONSTRUCTION INC. City: FORT PIERCE State: _ Address: 4701 OLEANDER AVE Zip Code: 34949 Fax: City: FORT PIERCE State: FL Phone No. Zip Code: 34982 Fax: 772-466-6491 E-Mail: Phone No 772-882-8334 E-Mail jmjacobs4701@gmaii.com Fill in fee simple Title Holder on next page (if different from the Owner listed above) State or County License CBC060421 / CFC1429607 If value of construction is 2500 or more, a RECORDED Notice of commencement is requirea. If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFpRMATION ... 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 Ipnrlpr nr nn attnrnpv hpfnrp rnmmpnring work or recordinE vour Notice of Commencement. Signat a of Owner/ Le a /Contractor as Agent for Owner Signat of Contractor/ cense Holder STAT F FLORID. F- La c-i Q_ STAT F FLORI J �C COUNTY OF L COU OF - Sworn to (or affirmed) and subscribed before me of Svigrn to (or affirmed) and subscribed before me of A Physical Presence or Online Notarization Physical Presence or Online Notarization this � day of nc+0 ye' by this aW day of _nC'(-p �p� ,t�2020 by ,�2020 © � � ��J CO S �a'Kr� `)OLC6 u `S Name of person making statement. Name of person making statement. Personally Known X OR Produced Identific Personally Known OR Produced IdentificatiType 930ro-30M.12-21 of IdentificationType of Identification`fibProduced Producedc d o 1 M ar MAW (Signature otary Public- Stat Florida) o (Signature of ary Public- State of Florida) s Q c� GG / Flo �gv 0� 6(0 �(Seal) N U7 ��K A Commission No. (Seal) Commission No. c) a $ co REVIEWS FRONT ZONING S ERVISOR PLANS VEGETATION SEA TURTLE MA GROVI! COUNTER REVIEW REVIEW REVIEW REVIEW R DATE RECEIVED DATE COMPLETED Rev.