HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: °�` �1 Permit Number:
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Budding Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue,Fort Pierce FL 34982 - .
Phone:(772)462-1553 Fax: (772)462-1578
PERMIT APPLICATION FOR:hardie..board siding
'RROPOSED IMPROVEMENT LOCATION.
Address: 5512 PINETREE DR FT PIERCE FL 34982
Property Tax ID#: 3402 602 0283.000 8 Lot No.16
Site Plan Name: PINETREE Block No. 8
Project Name. GARAGE SIDING
DETAILED DESCRIPTION OF WORK
WE ARE ADDING SIDING ON FRONT ONLY OF GARAGE
2-
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: Sq. Ft. of First Floor:
Cost of Construction:$ 2000 Utilities: —Sewer _Septic Building Height: 8
OWNER/LESSEE. . < CONTRACTOR
NameJOHN EDGAR Name:H DEAN ROBERTS
Address:5512 PINETREE DR Company:DETAILED ENTERPRISES INC
City: FT PIERCE. State:_ Address:565 NW CORNELL AVE
Zip Code: 34982 Fax_: City: PSL State:FL
Phone No.772 475 8349 Zip Code: 34983 Fax:
E-Mail:JOHN_EDGAR@BELLSOUTH.NET Phone No772 475 0112
Fill in fee simple Title Holder on next page(if different E-Mail deanroberts2009@gmaii.com
from the Owner listed above) State or County License
If value of construction is 2500 or moire,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: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Na me:DOE SIMMONS Name:
Address:7619 GRAMERCY DR Address:
City: ORLANDO State: FL City: State:
Zip: 32818 Phone40-1a54 1890 Zip: Phone:
FEE SIMPLE TITLEHOLDER: _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'Assoclation 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 our Notice of Commencement.
Signature of Owner/Lessee/Contractor as Agent for Owner Signat a of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF 57 • tJt C Tr.�- COUNTY OF 5 r, 49 0[
Sworn to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
i,""'Physical Presence or Online Notarization L-"'Physical Presence or Online Notarization
thisay of VC 2020 by this day of ,2020 by
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identificaticlo Type of Identi Ication !�� A
o uce V OLS 4 -e Produce Kl UCR.S" Cr—,_ARSC—
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(Signs ure of No ary Public-State IL igna ure of otary Pub ic-State of F o ' a)-
' ROHAN CLARENCE THO P �jS :'tiaAy AU'' HAN CLARENCE THOM S
Commission No. S ?; l�otary Public•State ofsio�o. s?°; .: i9tary Public State of F o a
Floridanda C
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Commission#GG 938 35 + Commission#GG 938 3
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REVIEWS FRONT ZCi_N1ITG"TMERVT= S VEGETATION SE E
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.5/6/20