HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: NOVEMBER 11, 2020 Permit Number:
ST. LUCIE
F. L'.t,p. .R
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMkf
Address: 5911 BIRCH DRIVE, FORT PIERCE, FL 34982
Property Tax ID #: 3402-609-0592-000-8
Site Plan Name:
Project Name: EVANS RESIDENCE
DETAILED DESCRIPTION OE\NORK:
REPAIRS TO RESIDENCE DUE TO FIRE
Residential X
Lot No. 22
Block No. 66
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATIONa
Additional work to be performed under this permit —check all that apply:
X Mechanical _ Gas Tank _ Gas Piping _ Shutters X Windows/Doors _ Pond
X Electric X Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: 1957 Sq. Ft. of First Floor:
Cost of Construction: $ 78982 Utilities: _ Sewer X Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
-` - -
Name NATHAN AND JEN EVANS
Name: MICHAEL CASON
Address: 5911 BIRCH DRIVE
Company: CASON CONSTRUCTION COMPANY
City: FORT PIERCE State: FL
Zip Code: 34982 Fax:
Phone No. 772.528.2799
Address: 2300 RUTLEDGE AVENUE
City: ORLANDO State: FL
Zip Code: 32817 Fax: 407.412.5960
Phone No 407.440.2866
E-Mail: CHEVY RACE R@BELLSOUTH. NET
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail CASONCONSTRUCTION@MSN.COM
State or County License CGC1521714
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
DESIGNER/ENGINEER: _
Not Applicable
MORTGAGE COMPANY: X Not Applicable
Name: ROBERT LEWIS
Name:
Address; 22062 CONCHA AVE
Address:
City: BOCARATON
State: FL
City: State:
Zip: 33428 Phonezz2.408.eeea
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
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Luci yynty� and posted on the jobsite before the first inspecttiyoon. If you intend to obtain financing, consult
w' ear an attornev before commencine work or reccirtlVe vour Notice of Commencement.
fit &1-1�
/Na¢C CAd,,
Michael Cason — —
chael Cason E. FS:3 -.
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF sTLNCIE
COUNTY OF sTLuaE
Swprn to (or affirmed) and subscribed before me of
V Pr s Notarization
Sw rn to (or affirmed) and subscribed before me of
hysical Pr c Notarization
?¢yslcal
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this 11 day 2020 by
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this l day M M.{ by
of! 1 I I V 4 L�
of . 2020
Name of person making statement.
Name of person making statement.
Personally Known \/ OR Produced Identification
Personally Known ,L OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signature of Notary r. are o or(Signature
�1 B LAPLANT
of Notary Pu - q orl
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raN; '•, Notary Public -State of Florida
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F?F; N4 Nota Public - State of Florida
Commission No, " Com latl #GG 951670
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