HomeMy WebLinkAboutPermit App - TrueloveAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
•
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 /
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential J
PERMIT TYPE: w" V-0 o r vV -Im q:• Ni mdo vS
'+
PROPOSED IMPROVEMENT LOCATION:
Address: 4 h 1 )S LOVh�
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Property Tax ID #: �� f - ~] V - 4�oli Lot No..
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
0 M 4A 01 t ► %6(o VNJS
�Y-0
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit -check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters Windows/Doors
_ Electric _ Plumbing _ Sprinklers _ Generator Roof Pitch
Total Sq. Ft of Construction: ;00 5 Sq. Ft. of First Floor:
l
Cost of Construction: $ Utilities: —Sewer _Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name T-►r-t e_.I d 1I -�(i(f7.fJ YA Name: Gary Whigham
Address: Q- � aV111 -C �(Nv�.L- Company: South Florida Aluminum Products
City: POY t State: Fl- Address: 4807 S US HIGHWAY 1
Zip Code: Sil GS Fax: N JAr City. Fort Pierce State: FL
Phone No.,-72. - ¢b (&- ) 0113 _ Zip Code: 34982 Fax: 772-466-1074
E-Mail: &110 � Phone No 772-466-0913
Fill in fee simple Title Holder on next page (if different E-Mail sfapbooks@sotlalum.com
from the Owner listed above) State or County License CRC1330712
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
MORTGAGE COMPANY: x Not Applicable
Name: Y1& Alwo(lig,wil EYA611rU.Crial
Name:
Address _Q01 0" .fit . S#?, ,AQ
Address:
City: I&A'apq State: FL
City: State:
Zip: ?4100 9 Phone_W- 3,14 - ZAO3
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 YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH' YOUR LENDER OR AN ATTORNEY BEFORE RECORDING Y❑UR ,P4TICE OF COMMENCEMENT."
Ignature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF ST. LUCIE
COUNTY OF ST. LUCIE
The for4wng instrument was acknowledged before me
this day of A'WYlwwy'►� 2021 by
The forgging instrument was acknowledged before me
thisJ2_''dayof w 20 2I by
GARY WHIGHAM
GARY WHIGHAM
Name of person making statement.
Name of person making statement.
Personally Known X OR Produced Identification
Personally Known X OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
�J. of J
(Signature of otary bliv&rate Qf-Ul r4tll State of Florida
(Signature of otary
Emily N Hicks
Commission No. • My corr�� HH 037541
a, n Expires T]B 024
Notary Public State of Florida
Commission No. Emily N Hi�sal}
y commis>s11 ri [i�l 037541
nr a Expires 08/30/2024
REVIEWS
FRONT
ZONING
SUPERVISOR PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 211119