HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
`' L U LCL
L 'Ci `` ` `' ti Building Permit Application
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: Building (RES Foundation Stabilization)
PROPOSED IMPROVEMENT LOCATION:
Address: 5508 Melville road Fort Pierce FI 32982
Property Tax ID#: 3403-343-0003-000-1 Lot No.
Site Plan Name: Pam Groothouse Block No.
Project Name: Pam Groothouse
DETAILED DESCRIPTION OF WORK:
Install 13 push piers and 10 gallons of polyurethane to stabilize concrete foundation
New Electrical Meter Second Electrical Meter
CONSTRUCTION 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 _Roof Pitch
Total Sq. Ft of Construction: 3715 Sq. Ft. of First Floor: 2051
Cost of Construction: $ 16,300 Utilities: _Sewer _Septic Building Height: loft
OWNER/LESSEE: CONTRACTOR:
Name Pam Groothouse Name:Carl King
Address:5508 Melville road Company:Stable Foundation Solutions, Inc.
City: Fort Pierce State:_ Address:23335 NW CR 236 Ste 30
Zip Code: 32982 Fax: City: High Springs State:FI
Phone No.772-777-6968 Zip Code: 32643 Fax:
E-Mail: Phone No386-454-8000
Fill in fee simple Title Holder on next page(if different E-Mailtravis@stablefoundationsinc.com
from the Owner listed above) State or County License C13C1263287
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 INFORMATION:
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: X Not Applicable
Name:Cool and Cobb Engineering Name:
Address:203 w Main St Address:
City: Avon Park State: Fl City: State:
Zip: 33825 P h o n e B-657-2323 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.
h
Signature of Owner/Lessee/Conlrarlror as Agent for Owner Signature of clontraclo4elcense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF Alachua COUNTY OFaachua
Sworn to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
X Physical Presence or Online Notarization x Physical Presence or Online Notarization
this 14 day Of December 2020 by this 14 day of December 2020 by
Pam Groolhouse Carl King
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
n
d Produced
(Y
gna re of Notary rubric-S-4 te
=:q� , ture ubiLICIA BOLLING
Notary Public-State of l id
s ICIA BOLLINGER
0(6 Nota -State of Florida dCommission No. _ Se0mmission # HH 3 ission No.1-Irk ` �_ l.
,a-zMy Commission Exp res Co ion # HH 30095
o " August 09, 2024 "^ o°`� My Commission Expires
%, or r
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.