HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED q
Date: 12/16/2020 Permit Number: 7ol
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° ; 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:
PROPOSED IMPROVEMENT LOCATION:
Address: 3266 Lakeshore Dr. // / /�
Property Tax ID#: 1915- V t — 6010 — Lot No.
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
Replace patio entry doors.
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 i Windows/Doors _Pond
Electric _ Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 109), `'" Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Wesley Knepp Name:
Address:3266 Lakeshore Dr. Company:
City: Hutchinson Island State:_ Address:
Zip Code: 34949 Fax: City: State:_
Phone No.321-419-3671 Zip Code: Fax:
E-Mail:kneppladyrider@aol.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 RECORDED Notice of Commencement is required.
i
. . _ _ ... . .. ..
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: X Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: x 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 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
improv ments to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie C unty d posted o the jobsite before the first inspection. If you intend to obtain financing, consult
with le der ' n attoAekbefore commencinR work or recording our Notice of Commencement.
A I/ a
Signat r of n&/ a Kee r as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORI STATE OF FLORIDA
COUNTY OF COUNTY OF
Swor (or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
_Lol'Physical Presence or—Online Notarization _Physical Presence or Online Notarization
this,f fL day of b=G 2020 by this_day of 2020 by
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Signature of Notary Public- to of Florida ) y (Signature of Notary Public-State of Florida)
Commission No. (Seal v 3 o m Commission No. (Seal)
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R PLANS VEGETATION SEA TURTLE MANGROVE
REVIEWS FRONT ZONING s%J
COUNTER REVIEW N REVIEW REVIEW REVIEW REVIEW
DATE N_.W`p
RECEIVED e �=70
DATEo'
COMPLETED
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