HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3/1/2021 Permit Number:
O
° 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: Demolition
PROPOSED IMPROVEMENT LOCATION:
Address: 13507 NW Coco Plum Ct.
Property Tax ID #: 4436 601 0028 0008
Site Plan Name: Harbour Ridge
Project Name: Michael and Cathy Horrocks
DETAILED DESCRIPTION OF WORK:
Demolition of all drywall, ceilings, cabinetry and bathroom fixtures in the house and garage due to a fire.
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: 51913
Cost of Construction: $ 203000,00
Sq. Ft. of First Floor:
Lot No. 28
Block No.
_Windows/Doors _Pond
Roof Pitch
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Michael and Cathy Horrocks
Name: Robert Ambrosius
Address: 431 The Kingsway
Company: One Call Florida, Inc.
City: Etobicoke, ON Canada State: _
Zip Code: ON M9A 3W1 Fax:
Phone No. N/A
Address: 7804 SW Ellipse Way
City: Stuart State: FL
Zip Code: 34997 Fax:
Phone No 772-223-8400
E-Mail: N/A
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail lori@onecallflorida.com
State or County License CGC1519002
If value of construction is 2500 or more, a RECORDED Notice of Commencement is requires.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
IGNER/ENGINEER: X Not Applicable
Name:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
ne:
MORTGAGE COMPANY: x Not Applicable
Name:_
Address:
Cjty:
Zip: Phone:
BONDING COMPANY: x Not Applicable
Address:
City:_
Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permir ro 0o Lne wort d��u �����d��a����� a� ��,...�......
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 your Notice of Commencement.
elwff C LALI —
Signature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY O1-7r41/a��11
Sworn to (or affirmed) and subscribed before me of
PhHsical Presence or _Online Notarization
this ? i day of Mia/Ili 20�by/
l�inba✓�'h i//'1��r7����
Name of person making statement.
Personally K n � OR Produced Identification
Type of Id tifi tion
Commission No.
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF �Gl/�/�
Sw rn to (or affirmed) and subscribed before me of
thisPh sical Presence or_ Online Nota ization
dayof Il/Ar66 2 by
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J 4 J2V7t'(' 11_2n kr
Name of person making statement
Known i� OR Produced Identification
Type of Identifio 0
Produc d
nat a of N lc- nou
Lod
Commission No, MyC
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
COMPLETED