Loading...
HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED J' J Date: Z 1 Z,bZ Permit Number: RECEIVED • Building Permit Application FEB 1 1011 Planning and Development Services Permitting Department Building and Code Regulation Division St. Lucie County 2300 Virginia Avenue,Fort Pierce FL 34982 Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential X PERMIT TYPE:Door replacement ';PROPOSED IM'PROVEMENT,LOCATION Address: 102 Hilton Dr, Fort Pierce FL Property Tax ID#: 1432-805-6026-000-9 Lot No.26 Site Plan Name: Block No. Project Name: Daisy Griffith DETAILED DESCRIPTION OF,WORK Replace front door with new front door to match style as close as possible 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:© Sq. Ft.of First Floor: Cost of Construction:$ / C7 Utilities: _Sewer _Septic Building Height: OWNER/LESSEE. ,. 'CONTRACTOR• Name Daisy Griffith Name:Kevin Firestone Address:102 Hilton Drive Company:Firestone Construction Inc City: Fort Pierce State:_ Address:2183 S Brocksmith Rd Zip Code: Fax: City: Fort Pierce State:FL Phone No. Zip Code: 34945 Fax: E-Mail: Phone No 772-216-9379 Fill in fee simple Title Holder on next page(if different E-Mail firestoneconst@gmail.com from the Owner listed above) State or County License CGC1510180 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: x Not Applicable MORTGAGE COMPANY: _Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: 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 WIVH YOUR LEND LENDFJR OR AN ATTORNEY BEFORE RECORDING Y UR NOTI F OMMENCEMENT." ignature of Owner/Lessee/Contractor as Agent for Owner /inaturWe of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA ` COUNTY OF COUNTY OF— The The for oing instrum v�n t {{as acknowledged before me The forgoing instrurp nt was acknowledged before me this day of_ eb 20.PII by this—11 day of 20�1 by AC P Vj r7 r d2oe__T"4b h e M°yid, dC� re Zvi Name of person making statement. Name of person making sta ement. Personally Known / OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identification Produced Produced (Signature of (Signature of oiP?�!�e4•, AUDREY B.HUMPHREY ts!?cB•, AUDREY B. MPHREY :a•. Commission N _* .._ MYCOMMISSI0 360817 MYCOMMISSI G330817 Commission No. / IRES:March,2023 XPIRES:March-6,2023 .•.. •P: 9lFOF,F°Q Bonded Thru Notary Public Underwriters Bonded Thru Notary Public Undenvriterc REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev.2/1/19