HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 2 20 Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMITTYPE: WIVM\Y1�% S\Jn 10(3t() Wl
Address: A-014a1 0 't cg'n &18 qAA i it \ 03 y �r� �o s 2 �((� !EL 3,1 D1 4 q
PropertyTaxlD#: 1`klq-laQz- 0034 - oO0IP1 Lot No.
Site Plan Name: Block No.
Project Name:
+�.
Additional work to be performed under this permit -check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters
Electric _Plumbing _Sprinklers
Total Sq. Ft of Construction:
_ Generator
Sq. Ft. of First Floor:
Windows/Doors
_ Roof Pitch
Cost of Construction: $ Q= _ Utilities: —Sewer —Septic Building Height:
Address:!t5!}q N'\toy A1A .*ly-A
City: 1�_a-, to!-EM C.Q. State: 0-
Zip Code: 34q'{-0A Fax: Tlal- 4y(o-1074
Phone No.7'f'121- U W (o
E-Mail: -
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: Gary Whigham
Company: South Florida Aluminum Products
Address:4807 S US HIGHWAY 1
City Fort Pierce State: FL
Zip Code: 34982 Fax: 772-466-1074
Phone No 772-466-0913
E-Mail sfapbooks@soflalum.com
State or County License C Q(' 1330T 1 2
or more, a neLuKueu nof¢e of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
MORTGAGE COMPANY: ac Not Applicable
Name: rl on a Rll/mioam EneJ'Q!fGrvl
Name:
Address: S o i t tV- Z 0Z 0
Address:
City: jcrirnPa State: ,
City: State:_
Zip: 331005 Phone Sri?— s7tL— !2q03
Zip: Phone:
FEE SIMPLE TITLE HOLDER: ac 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 Count? 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 YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU D, T"BTAIN FINANCING, CONSULT
WITH !*Rt15NDER OR AN ATTORNEY BEFORE RECORDING YOU OT F COMMENCEMENT."
1
Si nature ner Lessee/Contractor as Agent for Owner
SigkajUreof o tcense Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF sT. LUCIE
COUNTY OF Sr. LUCIE
The forgoing instrument was acknowledged before me
this 1410k day of ne LC IM16PC 202 by
The forgoing instrument was acknowledged before me
this1±4dayofQP_U_nnlye_,r 20-1Qby
GARY WHIGHAM
GARY WHIGHAM
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
Produced
Produced
(Signature of N
(Signature of
�.fr Notary Public Slate of Flonna
Commission No. Emily N Hicks(Seal)
HH 0 75H
E.pres 011t3020N
NolerypubllCSWIMcillil
Commission NEmily N Hloke (Seal)miswon
IIYon HH 097511
F.;Espaaa 08120f2024
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. TM 19