HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1/29/21 Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial X Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: 9900 S Ocean Dr # 703
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
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: _
Cost of Construction: $ 6075
Sq. Ft. of First Floor:
Windows/Doors _ Pond
Roof Pitch
Utilities: —Sewer Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Richard Stallings
Name: Joseph Flynn
Address: 29 Ponderosa Dr
Company: Flynn's Air Conditioning Service
City: Townsend State: _
Zip Code: 01469-1320 Fax:
Phone No. 978-877-1012
Address: 1323 SW Thelma Street
City: Palm City State: FL
Zip Code: 34990 Fax: 772-781-1307
Phone No 772-283-4114
E-Mail: sta11292003@yahoo.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail mjb@flynnac.comcastbiz.net
State or County License CAC055482
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.
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: Not Applicable
Name:
Address:
Name:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
Name:
Address:
City:
Zip: Phone:
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 vour Notice of Commencement.
Sign e o Owner/ ssee/Contractor as Agent for Owner
or -
Si ure of Co actor/License Holder
STATE OF FLORIDA ,1
STATE OF FLORIDA
COUNTY OF
COUNTY OFAp',;0
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
V Pbysical Presence or Online Notarization
This
Ph, sical Presence or Online Notarization
day of 2021 by
this day of �� 2024 by
0�L4� Flu n,n
�4012h 'F1 u r, r'1
Name of pers n makin atement.
Name of person making -statement.
Personally Known =j, -- OR Produced Identification
Personally Known X OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
-( ignature of Notary
(Signature of Notary Pu 1H
t . NICHOLAS BUTALA
��pry Nl f::r "
Commission No.
=.� :+= MYCOW"ON8GG97>sM
Commission No. .= MYCQIS(y� � ttm �38
EXPIRES: June 26, 2024
0.• E��ppIRES: :: :;
Bonded Thn! Notary Pubk Underwft
Eos Flop Bonded Thl,. e: •:<pon
REVIEWS
FRONT
ZONING
SUPERVISOR PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.