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HomeMy WebLinkAboutISBELL REVISED PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: . - :. Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Building Permit Application Commercial Residential x PERMIT TYPE: PROPOSE© IMPRQVEII�I.EI "LOCATION: 117QUiy�t LIZAB *'C �Q w Address: 117 QUEEN ELIZABETH CT, FT PIERCE, FL 34949 Property Tax ID #: 1414-701-0070-000-7 Site Plan Name: Project Name: DETAILED DESCRIPTION OF WORK: I V` J re- Y15-4�_ Lot No. H Block No. 8 i s , Additional work to be performed under this permit —check all that apply: _Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Electric _ Plumbing _ Sprinklers _ Generator Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction: $ 51 b© % _Q Utilities: —Sewer —Septic NameGREG ISBELL Address:117 QUEEN ELIZABETH CT City: FT PIERCE State: Zip Code: 34949 Fax -N/A Phone No.561-662-4256 E-Mail: GREGCATTLEMENSMARKET@GMAIL.COM Fill in fee simple Title Holder on next page ( if different from the Owner listed above) _ Windows/Doors _ Roof Pitch Building Height: °CONTI�;4LiC� , Name: JOY S YANCY Company:SUMMERLIN'S MARINE CONSTRUCTION, LLC Address:200 NACO RD, SUITE C City: FT PIERCE State: FL Zip Code: 34946 Fax: 772-464-7470 Phone No772-464-6090 E-Mail SUMMERLINSMARINECONSTRUCTION@GMAIL.COM State or County License24217 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 Name: ben rn k ir1 Address: 304 De1 City: im i State: FL Zip: 3y 45t; Phone - -7a - -7 . Oq7_ FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: Address: City: Zip: Phone: MORTGAGE COMPANY: Name: Address: Citv: Zip: Phone:. BONDING COMPANY: Name:_ Address: City:_ Zip: Phone: Not Applicable State: Not Applicable 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 m c a a R 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 ano posted on the jobsite before the first inspection. If you intend to obtain financing, consult with lender o n attorney before commencing work or recording your Notice of Commencement. Sig of 064rll Lessee/Contractor as Agent for Owner Signature of Contractor%Lic se Ider STATE OF FLORIDA STATE OF FLORIDA COUNTY OF S+ 1-11 _C1i — COUNTY OF 'S � - L& CPL" =� Swor o (or affirmed) and subscribed before me of Sworp to (or affirmed) and subscribed before me of Physical Presence or Online Notarization Physical Presence or Online Notarization t s 'a9day of C . 2020 by this Q QJay of IQ P C_ . 2020 by 11 � FZ5 ,N a of person ing statement. Name of person making statement. s' Ily Known V OR Produced Identification Personally Known ✓ OR Produced Identification ' In ff e of Identification Type of Identification CL gr uced Produced z c P. �. - z� nature of No Public- State of Florida) (Signature o otary Public- State of Florida)�I Co mission No. C!!r & 3 3 CQS01 (Seal) Commission No. &G 3 30_�Sfi (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Kev. 5/ b/ LU