HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FMAPPLICATION TO BE ACCEPTED i
Oate: .NOVEMBER 11,2020 Permit Number: V
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=e °- Building Permit Application
Planning and Development Services
Building and Code Reguldtion Division Commercial Residential X
2300 Virginia Avenue,Fort Pierce FL$4982
Phone:(772)462-1553 Fax:(772)462-1578
1:
PERMIT APPLICATION FOR
Address: 5911 BIRCH DRIVE,FORT PIERCE,FL 34982
Property Tax ID,##. 3402-609-0.592-000-8 Lot.No:22
Site Plan Name; Block No. 66
Project Name: EVANS RESIDENCE
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REPAIRS TO RESIDENCE`D_UE TO FIRE
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New Electrical Meter Second Electrical Meter
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Additional work to be performed under this permit—check all that apply:
X Mechanical' _,Gastank _ Gas Piping _Shutters X Windows/Doors Pond.
X Electric X Plumbing _Sprinklers _Generator Roof Pitch
Total So. Ft of Construction, 1957 Sq.Ft. of First Floor:
Cost of Construction:$ 789$2 Utilities: _Sewer, X Septic Building Height:
NATHAN AND JEN EVANS MICHAEL CASON '
Name Name
Address:591.1 BIRCH DRIVE Company:CASON CONSTRUCTION COMPANY J
City; FORT PIERCE State: FL,, Address:2300 RUTLEDGE AVENUE it
Zip Code: 34982. Fax: City: ORLANDO State:FL j
Phone No.772.528.2799; Zip Code; $2817 Fax: 407,412.5960
E-Mail•CHEVY_RACER@BELLSOUTKNET Phone No 407.4402866
Fill in,fee,simple Title Holder on next page:(if different E-Mail CASONCONSTRUCTION@MSN.COM
from'the Owner listed above) State or County License CGC15217.14
Jf value of construction is 2500 or more,a RECORDED Notice.of Commencement is-required.
If:value of.HAVCis$7,500 or more,a RECORDED.Notice of Commencement Is required.
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DESIGNER ENGINEER: Not Applicable MORTGAGECCtMPANY:- x Not Applicable
.Name?ROSERTLEwiS. . r
.. Name: '
Address- Address:
City: BOCARATON: State:"FL City:. State
Zip: 334i8 Phone772.aosss63. Zip.':.. Phone:
FEE SIMPLE TITLE BOLDER: x_Not Aoolicabl'e BONDING COMPANY. x_Not Applicable
Name: Name::
Address: Address:
City: City:
Zip: Phone: Zip. Phone:
OWNER/CONTRACTOR AFFIDVIT:Application'is'hereby made to obtain 6 permit tedo.th'e Work,and installation,as indicated.
I certify,that no work or installation has:commenced prior to the.issuance of a permit.
St.. m
Lucie Coun '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 Hoe Owners Association rules bylaws or,andleoven•arits that may restrict or.prohibit such:
i 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 Twilli in,all respects,perform the work
in accordance with the approved plans,the Florida BuildirigCodes and.St,Lucie,County Amendments.
The following building.permit applications are exempt:from undergoing a full concurrency review:room addition's,,_
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 ntyand"posted on the jobsite before the first inspect n.If you intend to obtain financing;consult .
w' e , an attorne before commencin work.or rec o Notice of Commencement.
Michaerceson =-�"- chael:C ason
'Signature of'Owner/Lessee/Contractor as Agent for,Owner,. Signature of'Contractor/License Holder
STATE OF FLORIDA STATE OF:FLORIDA
i COUNTY OFSTLUCIE .-- _... COUNTY OFsTLuctE
SNprn to(or affirmed)and subscribed'before me of Sw rn to(or,affirmed)and subscribed before me.of,
V. ysical.Pr s line Notarization hysical Pr e q ine Notarization
this day of 202o by this day of 1 2020 15
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Namebf person making statement. Name of person making statement.
Personally Known OR Produced Identification Personally Known N OR Produced Identification
Type of Identification Type of Identification
Produced Produced
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' Si nature of Notary.l ( g ry c• e o or E;LAPLANI .(Signature of Notary Pu I p on -
OOKE.LAPLANT
,• Notary Public.•-State of Florida. $,•, Nota P c-State of.F.lorida
Commission No. Com � :�GG45;670 t
(� Commission No. Ca #GG95tb10
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.Bonded throuilh-Nationat Notary Assn. Bonded through National Kota A
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION 'SEATURTLE ,' MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE-
COMPLETED
Rev.