HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BC COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit lumber:
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L° I " • ' -' '" Building Permit Application
Planning and Development Services
Building and Code Regulotion Division Commercial „ Re5idefll:iai
2300 Virginia Avenue, Fort Pierce Ft 34932
Phone: (772) 462-1553 Fax: (772)462.1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION. {
Address: 9125 Pumpkin Ridge Port St Lucie, FL 34986
Property Tax ID#: 3322-505-007-5-000-4 Lot No.
Site Plan Name: L I ! and Block No.
Project Dame: 7-"'^'--f-
DETAILED DESCRIPTION OF WORK:
Block up slider door and install block windows in that area. Stucco exterior and drywall on the interior
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 Vwindows/Doors Pond
Electric Plumbing _Sprinklers —Generator Roof Pitch
Total 5q. Ft of Construction_ r— Sq. Ft. of First Floor:
4 fJ
Cost of Construction: $ Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Kathryn Turney Name:Shary Carothers
Address:9125 Pumpkin Ridge Company:Paul Davis restoration
City: Pori.St Lucie State:_ Address: 1950 SW Dlltmore St
Zip Code: 34986 _ _ _ fax: City; Port St Lucie State:PL
Phone No.207.907-0353 Zip Code: 34984 Fax: 772-340-2464
E-Mail:allmerka@hotmail.com phone No 772-340-2080
Fill in fee simple Title Holder on next page(If different E-Mail trzr@Pauldavis.com
from the Owner listed above) State or County License CGC1529930
If value of construction is 2500 or more,a RECORDED Notice of Commencement is required.
If value of HAVC is$7,50 or more,a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION LIEN LAIN INFORMATION:
DESIGNER ENGIN ER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name: &cA,,a4rA e)+`` Name:
Address: - 0 . ! Address:
City: ►�r� State: E�-- City: State:
Y: o Z ~ I Zip: Phone:
Zip.��°i�y _Phone
FEE SIMPLE TITLE HOLDER: Not Applicable BANDING COMPANY: `Nat Applicable
Name: Name:
Address:
Address:
City: City:
Zip:
Zip: Phone: _ Phone:
OWNER/CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as ind{cated.
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
structur in e. conflict
consult vothpyour Home Owners Association andation rr�evle fewylaws your or
or a and ny restrictions e na nts that may
ch may a prohibit such
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 CountV Amendments.
The fallowing building permit applications are exempt from undergoing a full ccncurrency 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. Y you intend to obtain financing, consult
with lender or an attorney before commencing work or recordin our No ' f Comniencement.
Signature of O ner/LesseelContr tar as Agent for Owner Signature of Contract- License Molder
STATE OF FLORIDA STATE OF FLORI❑ ,
COUNTY❑Fs:u— COUNTY OF P, —
Sworn to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
r Physical Presence or Online N-taritation P ical PresVice or Online Notarization
this 17u, day of F- 202IJ by this ay of 202 f by
4r amLes
Name of erson makinglatement. Name of pe son making statement.
Personally Known OR produced Identification x Personally Known Y OR Produced Identification
Type of IdMptification Type of Identlfication
Produced4-L-DL—S -vs l 1!sq-C) Produced
t
( g ature oP!! tary Public-State of Florida )
PFOFnature o o ary Public-State of F da.)
JAM NE L ZAVAL � 4 W�E L ZAVALA
Commission No. �► ~t+ 4 kir GG 24592(` Wiws.ion M Go 205923 nmissian No. `� 5��, + (i5e
+y E as Falxvary6.702
r4 4 xl+ Rr F e W Nui 6,2at3 w n nw o r*,r.r
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION 5EATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 5/6120
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