HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUSTBE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 7A9 Permit Number: C901a' 00A
O
° ° 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: Siding Repair
PROPOSED IMPROVEMENT LOCATION:
Address: 4594 Edwards Rd. Fort Pierce, FL 34981
Property Tax ID#: 2430-501-0025-000-6 Lot No.16& 17
Site Plan Name: Sunset Park Block No.
Project Name: Siding Repair
DETAILED DESCRIPTION OF WORK:
Remove approximately 20 LF x 8 Ft high of rotten lap siding and install vapor barrier/non woven house wrap over
Plywood sub-siding and 4'x 8'Hardie board siding and 1"x 4" Hardie Trim at comers.
New Electrical Meter NA Second Electrical MeterNA
-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 Pitch
Total Sq. Ft of Construction: 160 SF Sq. Ft. of First Floor: NA
Cost of Construction:$ 1200.00 Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Evelyn S. Whaley/Mitchell Whaley Name: James C. Crosby
Address:4594 Edwards Rd. Company:2C Construction Ilc
City: Ft. Pierce State:_ Address:1174 SW Hibiscus St.
Zip Code: 34981 Fax: City: Port St. Lucie State:FI
Phone No.772-882-2408 Zip Code: 34983 Fax:
E-Mail:rilyn66@yahoo.com Phone N0772-631-4366
Fill in fee simple Title Holder on next page(if different E-Mail 2cconstructionllc@gmail.com
from the Owner listed above) State or County License CGC1 523630
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 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
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 attorney before commencing work or recording our Notice of Commencement.
el
a ure of nerPA
/Contractor as Agent for Owner Signa of Contractor/License er
STATE OF FLORI STATE OF FLORIDA
COUNTY OF COUNTY OF S ",.o
Sworn to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
Physical Presence or Online Notarization Physical Presence or Online Notarization
this�day of 1�_ 2020 by this day of 2020 by
Name of p4rson making statement. Name of pe on making statement.
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
ProdAced Pro uced
(Sig to o Notary Public- ate of Florida na re of I `tary;:�gb1i 5
r..ec.. •. LASHAHNA INGRAM- HMING
Commission No. -�:_:=-- '� 1� ¢=# :. MY COMMISSION J J5060
,Y;:;,;• LASHAHM RAHMING Commission N tag _ S
GG 275060 yr ?e°= cnrincS:Decem er 20, 022
,. %_ hiY COMMISSION;# Fir F;°•'' F3onded Thru Notary Public Underwriters
or' EXP Notary ublicUnderwriters
l' `<
REVIEWS FRQN�f °J PLANS VEGETATION SEA TURTLE MANGROVE
COl�f11FF" VIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.