HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ���: Ir Permit Number: MAC b
RECEIVED
Building Permit Application OCT 0 21017
Planning and Development Services
Building and Code Regulation Division PERMITTING
2300 Virginia Avenue,Fort Pierce FL 34982 St. Lucie county,FL
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Siding
PROPOSED IM„PROVEMENT"LOCATI.ON
Address: 9400 Dees Ave, Fort Pierce FL 34945
Legal Description: Dorian S/D BLK E Lots 3&4(0.83 AC)(OR 321-1862) Sec/Town/Range 10/35S/39E
Property Tax ID#: 2310-801-0051-000-9 Lot No.3&4
Site Plan Name: Block No. E
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCR:IPTION;OF�WORK "„
Install housewrap, new hardi fiber cement siding on 2nd stort part of house only
,CONSTRUCTIONINFORMATION
Additional work to be nertormed under t is permit—Check all apply:
[1HVAC LJ Gas Tank []Gas Piping Shutters Q Windows/Doors
Electric 0 Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: S .Ft.of First Floor:
Cost of Construction:$ 4900.00 Utilities: Sewer Septic Building Height:
OWNWLESSEE ;, .. r ,:CONTRACTOR:
Name Carolyn Dodge Name: Kevin Firestone
Address:9400 Dees Ave Company: Firestone Construction Inc
City: Fort Plerce State:FL Address: 2183 S Brocksmith Rd
Zip Code: 34945 Fax: City: Fort Pierce State:FL
Phone No.772-519-1156 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.
SUPPLEMENTAL CONSTRUCTI"ON LIEN LAW INFORMATION
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name:c-499a9e Name:Kevin Firestone
Address'940 = Rierse_F�4s Address: 9400DeesAve
City: F State: City: Fort Pierce State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address:2183 S Brocksmith Rd 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 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 s Jent for Owner SigrfaTure of Con actor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF �/ COUNTY OF 4. L'
The ff$rff ing Instrurnent wa a knowledged before me The f going instru} acknowledge efore me
this day of 20 by this, day of �J 20by
r •
-(FAA,
Name of rson making state t Name of person making statement
Personally Known OR Prod u d dentification Personally Known OR Produced Identification
Type of identification Type of Identifi n
Produced JD Produced FL, OL
ture of No a ry Public-State of Florida) (Signature of Not Public-State of Florida)
AffId i �" """- KAREN S NI LSEN
�•� gyp`��B�4i cQ'�
Commission No I MIRY PUBLIC Commission No. missio�Il`fP/1t5s37
STATE OF FLORIDA P,. My Commission Expires
CommtFF233777 �'•�:;;;;;;:�� June 12, 2018 tm. 1�
MEW- Expl"45MWZ0119
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17