HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE
Date
D FOR APPLICATION TO BE ACCEPTED,''" , ,,,
0�1.0 Permit Number: 2q
SM. MICE
O ps ems.
T" 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:
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ROf?C}SCIiPRC�1i>EMT LOCAT.,IC+N♦ M ff $ ^ `
Address: (03 l 0 A KA PA HdE 5 T
PropertyTaxlD#: 3401 - *03- `Q5m8)- e4b6 -3 Lot No. 11
Site Plan Name: Block No. B
Project Name: POLE SAkN
New Electrical Meter Second Electrical Meter
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 : ) Z Pitch
Total Sq. Ft of Construction: 532 Sq. Ft. of First Floor:
Cost of Construction: $ 5'1, Min 6 Utilities: —Sewer —Septic Building Height: 15
NameL_t:>R1LA1NE CFRES WEAVER CLF EST)
Address: 6424 RIVLALAIUD I)R
City: Ft)RT Piwac6 State: ELL
Zip Code: 3498 2 Fax:
Phone No. 344-146o
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name:Jason Merritt
Company:TNT Builders LLC
Address:981 SW Biltmore St
City: Port St Lucie
Zip Code: 34983
State: FL
Fax: 344-9001
Phone No344-9400
E-MaiITNTBUILDERSLLC@COMCAST.NET
State or County LicenseCGC151 7964
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.
DESIGNER/ENGINEER: _ Not Applicable
Name: P-aul We1c.6 Inc
Address: N 264 sw Mi}mcn* 5+ 3v14c 1114
City: Porf 5+ Luue State: FL
Zip:34484 Phone 3�85- 98 8
FEE SIMPLE TITLE HOLDER: _i Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
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 attornev before commencing work or recording vour Notice of Commencement.
re
as Agent for Owner
STATE OF FLORID ff -- STATE OF FLO A
COUNTY OF (o I.IJ�L. COUNTY OF ) _L1Cj�
Swor to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this A day of j(f . 2020 by
Name of person making statement.
Personally Known V OR Produced Identification
Type of Identification
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this ,a day of 020 by
Name of person making statement.
Personally Known � OR Produced Identification
Type of Identification
Produced
(Signature IfNdt—ify-Public- S e ' eia 6taryFublic-State of Florida ignature of Notary Publ
SA MCLEOD
* * _ Commission # GG 077709 ;.• ,aY
• Comm. Expires tun 23, 2021 ; _°, - Notary ublic -State of Florida
Commission No. mmission No. •�y •_ Apr#GG077709
Bonded through National Notary Assn G
My Comm. Ex Tres tun 23, 2021
Bonded through National Notary Assn.
REVIEWS I FRONT I ZONING
COUNTER REVIEW
DATE
RECEIVED
DATE
COMPLETED
SUPERVISOR PLANS VEGETATION SEA TURTLE I MANGROVE
REVIEW REVIEW REVIEW REVIEW REVIEW