HomeMy WebLinkAboutLAWN CHAIR PROPERTIES, LLC Reroof of Pre-Engineered Metal Building - PERMIT APPLICATION - Richard K. Davis Construction Corp.All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �2�2Z% Permit Number:
Z�'n LULL
L L . '_ 131 r2�1 _ .r Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
3
PERMIT APPLICAT I0N FOR: RE�p�F �X/lT�i1/6 =Frt/G/il/ �E1� /t4F L A//44, /G
PROPOSED IMPROVEMENT LOCATION:
Address: 106 &L 14411Property
Tax ID #: 2440 7"�- 00��- 000 3 Lot No.
Site Plan Name: A1/,4 Block No.
Project Name: I -MN 6NA,&
DETAILED DESCRIPTION OF WORK:
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New Electrical Meter NO Second Electrical Meter NO
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 I/Roof Pitch
Total Sq. Ft of Construction: /1, 000 _IF Sq. Ft. of First Floor: /554�e .f�
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Cost of Construction: $ _822 al. on Utilities: —Sewer _ Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name 4d & f C!�Q1,R Z-4G Name: dUi I.r �C.r1
Address: IeA R,,Q,d/L411 C/QGL-.0 Company: 42V --r Aw
City: State: ,GG Address: ,0 e2. eZX
Zip Code: _�9V7 Fax: City: Za- zo State: Irz
Phone No. 772 O - Zip Code: Fax:
E-Mail: el Phone No
Fill in fee simple Title Holder on next page ( if different E-Maihpr�
from the Owner listed above) State or County License
l l�G O15 Oee274�-
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: _ Not Applicable
Name: .a.41/L III/ Cam. /W<G.
Address:_&� z {« _ ,5A 1��1T /�
City: �T�� S ate
Zip: , Phone_TZ2 ZA5— —
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name: WIA
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
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 your Notice of Commencement.
07'� ! 4
Signatur of Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF Jr LaJ z- z = COUNTY OF J-7.
sw❑pn to for affirmed) and subscribed before me of
lr Physical Pre.seijce or Online Notarization
this day of 2020 by
Na person making statement.
Personally Known L/ OR Produced Identification
Type of Identification
Produ/ed
Sworp to (or affirmed) and subscribed before me of
V Physical Presence or Online Notarization
thiscl�y of 2020 by
'dW(V44_r A V I1
Namefp@rson making statement.
Personally Known OR Produced Identification
Type of Identification
Produced
(�gybture of Notary Public- State r ,A ROGER A. PRIEST
(Si at r f Notary Public- St e: • ri a
g Y r ROGER A. PRIEST
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7�s• Notary Public - state of
Commission No. �'7 �I} Commission N HS 1912
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Rev. 5