HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED LL
Date: 1/8/21 Permit Number: 02 1
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1S78
PERMIT APPLICAT 0 FOR: Exterior "cabana_" bathroom door
PROP SED IMPROVEMENT LOCATION:
Address: 2208 River Branch Dr., Legal Description: OR 218-2740: 3336-1a
Property Tax ID#: Account ##128806, 56� -6617-DEG A No. 13
Site Plan Name: River Branch Estates Subdivision, Parcel ID #Block No. N/A
Project Name: Cabana bath replacement of existing, external door.
DETAILED DESCRIPTION OF WORK:
Cabana bath external door: replacement of existing door, door jam, ani
Uc�.,
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 Windows/Doors Pond
Electric _Plumbing _Sprinklers _Generator Roof Pitch
Total Sq. Ft of Construction: 2 square feet Sq. Ft. of First Floor: N/A, lust replaclnm
Cost of Construction: $ �JO (� Utilities: —Sewer Septic Building Height: 18 ft.
OWNER/LESSEE: CONTRACTOR:
Name Melanie and Timothy Trewyn Name:
Address:2208 River Branch Dr. Company:
City: Fort Pierce, FL State: Address:
Zip Code: 34981 Fax: 772-460-4661 City: State:
Phone No. H: 772-460-1825, C: 772-9-1 Zip Code: Fax:
E-Mail: Mitrewyn(D_gmail.com Phone No
Fill in fee simple Title Holder on next page ( if different E-Mail
from the Owner listed above) State or County License
i
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: x Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: Name:Select Portfolio Services
Address: Address: POBox 65277
City: State: City: Salt Lake City State: UT
Zip: Phone Zip: 84165-027 Phone:888-818-6032
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: x Not Applicable
Name:Melanie & Tim Trewyn Name:
Address:2208 River Branch Address:
City: Fort Pierce City:
zip: 34981 Phone:772-460-1825 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 der or an attorney before commenc"ng work or recording our Notice of Commencement.
r
Signatidri o Owner/Lessee/ContractV as Agent for bwner Si ature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF St Lucie County COUNTY OF
Sworn to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
Ph�Ysical Presence or Online N tarization Physical Presence or Online Notarization
this 7 day of �JCl7 — ,202� by this day of 2020 by
(M Q 1 C'.(n\o _ �rP n&� n
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced L L Produced
(Signature of Is (Signature of Notary Public-State of Florida )
YP ELLEN VAU HN
_`°� °rt;State of Florida•p�otoa'f(yy Public
Commission N _ ssion N�90217 0 0 7 9 Commission No. (Seal)
My Commission Expires
October 22, 2022
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 5/6/20