HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10/26/2020 Permit Number:
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Building Permit Applicati
Planning and Development Services
Building and Code Regulation Division Commercial Ri
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 46271578
PERMIT APPLICATION FOR: Replacement of siding
Address: 6801 Coquina Ave
Property Tax lD #: 1301-611-0325-000-7
Site Plan Name:
Project Name:
RECEIVE
OCT 2 6 2020
Lot No. 28
Block No. 115 .
remove rotted T111 siding, install sub -walk and moisture barrier and install Ekena Millwork Faux Stone Veneer to lower 24" of
walls and James Hardie HZ10 Hardie panels. Windows and door to be trimmed out with Hardie trim HZ10. Total area covered
is 42 linear feet.
New Electrical Meter NA Second Electrical -Meter NA r v�u"' ,'1?2 s%i `e
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Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank —Gas Piping _ Shutters _ Windows/Doors _ Pond
i
_Electric Plumbing. _Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $
Name Sheryl Gruen
Address: 6801 Coquina Ave
_ Generator _ Roof Pitch
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic
City: Fort Pierce State: _
Zip Code: 34951 Fax:
Phone No. 772-971-6815
E-Mail: sherylgrif@yahoo.com
Fill in fee simple Title Holder on'next page ( if different
from the Owner listed above)
Name:
Building Height:
Company:
Address:
City: State:
Zip Code: Fax:
Phone No
E-Mail
State or County License
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.
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DESIGNER/ENGINEER: x Not Applicable
MORTGAGE COMPANY: x Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Appiicable
BONDING COMPANY: x 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 1-Tome 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, l 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
i
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 postedn the jobsite before the -first inspection. If you intend to obtain financing, consult
with lender or an attorn v efore commencing work or recording your Notice of f'nmmanrPmPnt
ASignaare
of Owl r L contractor as Agent for Owner
Signature of Contractor/License Holder
STATE_OF OE—FLORIDA
COUNTY
STATE OF FLORIDA
COUNTY OF
Sworn to (or affirmed) and subscribed before me of
sworn to (or affirmed) and subscribed before me of
Physical Presence or Online N tarization
•Physical Presence or Online Notatizatibn
this 2,� of (`(�/� (L 20. by
this _ day of - 2020 by
N me of person maki ' sfatement�—'
Name of person making statement.
Personally Known _ �. �-�-=OR-Produced-Identification
Personally Known OR Produced Identification
Type of Iden'tifcatio
Type of Identification
Produ d 1
Produced
Signature of Notary. P 6-State 1 N r' ') y`
ature of Notary Public- State of Florida J
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Commission-No_('�-
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REVIEWS
FRONT
ZONING
SUPERVISOR
VEGETATION
-SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIE
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Nev. 3/0/GU
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