HomeMy WebLinkAboutPermit Appl - Executed ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: December 21, 2020 Permit Number:
111 o o o 0 = Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial XXXXXX Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
PROPOS D ROVEMENT LOCATION:
Address: 3200 N Kings Hwy, Fort Pierce, FI 34951
Property Tax ID #: 1325-233-0000-000-7 Lot No. Metes &
Site Plan Name: Markus & Anne Marie Portman Block No, Bounds
Project Name: Indian River Spirits
DETAILED DESCRIPTION OF WORK: qq
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 windows/Doors _Pond
✓Electric Plumbing ✓Sprinklers Generator Roof Z! I Z Pitch
Total Sq. Ft of Construction: 10 r OCJQ Sq. Ft. of First Floor:
' u
Cost of Construction: $ i yZ 00, Ooo Utilities: ✓Sewer I Septic Building Height: 14 0
OWNER/LESSEE:
CONTRACTOR:
Name Markus & Anne Marie Portmann
Name: Todd Thompson
Addres.1713 Shore Dr
Company:Thompson's Remodeling & Home Repair, Inc.
City: Vero Beach State:_
Address:P•O, Box 430
Zip Code: 32963 Fax:
city: Vero Beach State: FI
Phone No.772-569-0066
zip Code: 32961 Fax: 772-564-6760
E-Mail:annemarie@graphtech.us
Phone 1\10772-564-8008
Fill in fee simple Title Holder on next page ( if different
E-Mail remodelerOO@gmall.com
State or County License CGC1528411
from the Owner listed above)
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.
MPPLEM!ENTALCONSTRi .•.i.n . NLA'•W'INFORMATION:�
DESIGNER/ENGINEER: Not Applicable
MORTGAGE COMPANY; Not Applicable
Name: J& er'r,r
Name;
Address:
Address: 1 S35 10 4 SF'
City: State:
Zip; Phone:
City: , o "�lpc4. State: —c-
Zip: 32A to Phone 'I L-wwX to A - UO 35
FEE SIMPLE TITLE HOLDER: LC Not Applicable
BONDING COMPANY: _X_NotApplicable
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 prlorto the issuance of a permit.
St. Lucie County makes noyyrep resent tion that Is granting a permit will authorize the permit holder to build the subject structure
structure, Pleaslecconsult wthpyourHome owners Associationtiand review your deed for any estrictions which may aprohibit such
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 public records of St.
Lucie County and posted on the Jo e o e the first Inspection. If you Intend obtain financing, consult
with lender or an ne befor commencin work or reecor in our tice Commencement.
V i fix`
Signature of ner/ Lessee/Contracto s Agent for owner Sign r f C ntr ctor/LI nse Ho t
STATE OF FFID/� STATE OF ll`,JFLORIDQ
COUNTY OF -� a -a-- 1I,'r.r,.— COUNTYOF�v.ra`r
Sworn to (or affirmed) and subscribed before me of Sworn to (or affirmed) and subscribed before me of
-✓Physlcal Presence or_ Online Notarization )0 Physical Prese a or Online Notarization
this 24S�dayof DiA eiw. 6. 2020 by this day tv� .2020 by
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Name ofperson ak gstatement. Name of person making Watement,
Personally Known ✓ OR Produced Identification _ Personally Known \�o OR Produced Identification
Type of Identlfl tlon Type of Identification
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