HomeMy WebLinkAboutbuilding permitAll APPLICABLE INFO MUST [E COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 12/15/20 Permit Number:
LILl((ItI]L
Planning and Development 5 rvices
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1SS3 Fa : (772) 462-1S78
Building Permit Application
Residential x C- vttC�
PERMIT APPLICATION
FOR:JASON BROWN
PROPOSED IMPROVEMENT
_
LOCATION:62020 EMERSON AVE
Address: 6202 EMERSONAVE
Property Tax ID #: 1301609 0570000
Site Plan Name: LAKEWOODPARK
Project Name: BROWN
DETAILED DESCRIPTION OF WORK:
REROOF WITH C,.�p,��SHING ES oo' rl
New Electrical Meter Second Electrical Meter
CONSTRUCTION INF RMATION:
Lot No. 13
Block No. 5
Additional work to be perf( rmed under this permit— check all that apply:
_Mechanical _ C as Tank —Gas Piping _ Shutters -Windows/Doors _ Pond
Electric _ PI imbing _ Sprinklers _ Generator Roof 2:12 Pitch
Total Sq. Ft of Construction 5,01c) Sq. Ft. of First Floor:
Cost of Construction: $ 16,( 00 Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR ,. ,a"Ys
NameJASON BROWN
Address:6202 EMERSON
City: FT PIERCE, FL
Zip Code:
Phone No.5203312817
E-Mail:
Fill in fee simple Title Hol
from the Owner listed a
Name:NAKIA GELLER
Company: HIGHLAND HOMES
AVE
State:
Fax:
Address:1136 US1
City: SEBASTIAN State: FL
Zip Code: 32958 Fax:
Phone N0772-388-1411
E-MailHHROOFING7@GMAIL.COM
State or County License RC29027628
Jer on next page ( if different
ove)
If value of construction is 25ip or more, a RECORDED Notice of Commencement is required.
If value of HAVC is $7,500 or ore, a RECORDED Notice of Commencement is required.
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MORTGAGE COMPANY: _ Not Applicable
DESIGNER/ENGINEER:
No
_ t Applicable
Name:
Name:
Address:
Address:
City:
Zip: Phone
State:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLD
R: _ Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City:
Zip: Phone:
City:
Zip: Phone:
OWNER/ CONTRACTOR P
FFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
certify that no work or instalh
tion has commenced prior to the issuance of a permit.
St. Lucie County makes no representation
which is in conflict with any ap
that is granting a permit will authorize the permit holder to build the subject structure
Acable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with
our Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the grantin
of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approv
d plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit i
pplications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimmi
pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Yfimprovements
u r failure to Record a Notice of Commencement may result in paying twice for
to yoproperty:
A Notice of Commencement must be recorded in the public records of St.
Lucie County and poed
on the jobsite before the first inspection. If you intend to obtain financing, consult
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signature &f Owner/ Lessee
ontractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF
COUNTY OF
S n to (or affirmed) ands
ibscribed before me of
Sworn to (or affirmed) and subscribed before me of
Physical Prey nrp or
Online Notarization
�hvsical Presence or O line Notarization
�7N`day 1024 by
this _day of
EJLName
J 202� by
this _ of
of person making stat
ament.
Name of person making statement.
Personally Known XR
Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Pro ced
Produc
(Si natur f Notary ublic
Stat
of I i
re of N
ary.,iA ic-Florida
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Commission No.
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October6,Z024
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Fo� i�OP:
Bonded TMu Troy Fain Insurance 800-385-7018
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