HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 04/05/21 Permit Number:
RECEIVES
APR ` D 2021
Per
Building Permit Application art
ent
Planning and Development Services St. Lu�ciecourrty
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:
.PROPOSED1M PROVE MENT`.LOCATION:
°.-
Address: 6597 PICANTE CIR. FORT PIERCE FL. 34951
PropertyTax ID#: 1306-500-0299-000-9 Lot No.22
Site Plan Name: SPANISH LAKES FAIRWAYS Block No. 55
Project Name:
DETAILED DESCRIPI-ION}OF WORK:
TEAR OF OLD SHINGLES NAIL OFFICE WATER,NEW DRIP, SHINGLES
New Electrical Meter Second Electrical Meter
CON STRU ION CT `1-NFORMATION:
Additional work to be performed under this permit—check all that apply:
_Mechanical _Gas Tank —Gas Piping _Shutters _Win do s/Doors _Pond
_Electric _Plumbing _Sprinklers _Generator - Roof 5/12 Pitch
Total Sq. Ft of Construction: 2600 Sq. Ft. of First Floor: 2600
Cost of Construction:$ 9600.00 Utilities: —Sewer —Septic Building Height: 8'
OWNER/LESSEE :.
CONTRACTOR:
Name MARGARET HANLON Name:JOHN G CANNON
Address:239 ROCK LAKE DR. Company:JOHN G CANNON
City: ZEHENOPLE PA State:_ Address:7901 CITRUS--PARK BLVD
Zip Code: 16063 Fax: City: FORT PIERCE State: FL
Phone No. Zip Code: 34951 Fax: 772-468-0272
E-Mail: Phone No 772-468-0202 CEL772-201-1771
Fill in fee simple Title Holder on next page(if different E-Mail JGCANNONROOF@ICLOUD.COM
from the Owner listed above) State or County License CCC133066789
If value of construction is 2500 or more,a RECORDED Notice of Commencement is required.
If value of HAVC is 17,500 or more,a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION�LIEN LAW INFORMATION
DESIGNER/ENGINEER. _Not Applicable MORTGAGE COMPANY: — Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone 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.
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.
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Signat e o Owner/Lessee/Contractor as Agent for Owner Slgna re o Con Factor License older
TE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF
Swor to(or affirmed)and subscribed before me of Swprh to(or affirmed)and subscribed before me of
Physical Presence or. Online Notarization ./ Physical Presence or Online Notwizati ,
this-45L �y day of r jT� thisK day of 2826 by
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Name of person making statement. Name person making statement.
Personally Known OR Produced Identification Personally Knownf/ OR Produced Identification
Type of Identification Type of Identification
Produced Produced
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(Signature of Notary P lic-State of Florida) (Signature of Notary :,v • ' S d#e;of F orida•) G,3 oo817
Commission N .,,'?�rp` ^Ey E. F, va;Undaw,riters
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REVIEWS `FRONF' =" ` alafN RVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
AUDREY S.HUMP iREY
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DATE
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COMPLETED ^'� �= EXPIRES:A411di G 2023
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