HomeMy WebLinkAboutBuilding Permit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 2/25/21 Permit Number:
LLcIL
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) 462-1578
PERMIT APPLICATION FOR: Patio Renovation
PROPOSED IMPROVEMENT LOCATION:
Address: 5107 Indian Bend Lane
Property Tax ID #: 1312-800-0021-000-0 Lot No.190
Site Plan Name: Haukap Residence Block No.
Project Name: Haukap Residence
DETAILED DESCRIPTION OF WORK:
Patio Renovation New Windows and Door In lmmediate Area New Fr
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit- check all that apply:
_ Gas Tank —Gas Piping _ Shutters —Windows/Doors Pond
_Mechanical
L_ ectric _ Plumbing _Sprinklers _ Generator Roof _ Pitch
Total Sq. Ft of Construction: 420 Sq. Ft. of First Floor:
Cost of Construction: $ 30000 Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Narne Robert Haukap
Name: Devin Wheaton
Company:Treasure Coast General Col
Address:1720 CO enhaver Road
Address:5107 Indian Bend Lane
City: Ft. Pierce State.
Zip Code: 34951 Fax:
Phone No. 642 - %
City: Ft. Pierce state: FL
zip Code: 34945 Fax:
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Phone No
E-Mail treasu recoastgc @q mall .com
state or County License CGC 1520542
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:
MORTGAGE COMPANY: _ Not Applicable
Name: Name:
Address: Address:
City: State: { City: State:
Zip: Phone I 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 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.
Not Applicable
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 len or an attorney before commencing work or recordin Notice of ca mencement.
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Signature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA , {
COUNTY OF k
Sworn (or affirmed) and subscribed before me of
- Physical Prey ce or Online Notarization
this2!L`1Vay❑202J by
��r✓ � i -. I�JI�e^-� �
Name of person making statement
Personally Known OR Produced Identification LIZ
Type of Identificatia
Produced Notary PutNic State of Fk
Colleen Sue Mayes
My Commiasan GG 2871
111 �i Exoimi� 01)1512023
(Signature of Notar�Public-Sta
Commission No.P 71 (Seal)
REVIEWS FRONT ZONING SUPERVISOR
COUNTER REVIEW REVIEW
DATE
RECEIVED DATE
COMPLETED —
eV.
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF
Sworn (or affirmed) and subscribed before me of
Physical Pretence or Online Notarization
this day of E-, rw,, J 2020 by
Name of person making statement.
Personally Known OR Produced Identification
of Identification
Pr uced N.'ry Public Slate at'7o-
rt1' r� Co#een Sue Hayes
i I My Cummi�san GO 28772
nature of Not4ry Public- St
Commission No.-7 7)-, (Seal)
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PLANS VEGETATION SEATURTLE MANGROVE
REVIEW REVIEW REVIEW REVIEW