HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED F.OR APP.LI'CAI ON TO BE ACCEPTED
Date: �� ' �� Permit Number:
s .
-- — Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 J
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT TYPE: VX
sr ;
PROPOSED IMPROVEMENT LOCATION.
Address: 64 lk N J-yy FY�- Pt-�.►�.t. �1 349SZ
Property Tax ID#: Lot No.
Site Plan Name: Block No.
Project Name:
b-AIL D DESCRIPTION OF WORK:
ll A giM O- n vv
7C6N.STRUCTION INFORMATION.
Additional work to be performed under this permit-check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters_ ✓Windows/Doors
_Electric _Plumbing _Sprinklers _Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction:$ S ��� Utilities: —Sewer _Septic Building Height:
,.'OWNER. /I_IrSSEE_ CONTRACTOR:
-.E -
NameY� `!"�'1 k Name:Gary Whigham
Address: !WR FW-yy IGIIYIGI DY Company:South Florida Aluminum Products
City: 'FloY-1- PI`wLt, State: Address:4807 S US HIGHWAY 1
Zip Code: 34°�YL Fax:I K City: Fort Pierce State: FL
Phone No. Y� Zip Code: 34982 Fax: 77�466-1074
E-Mail:#J I It Phone No 772A66-0913
Fill in fee simple Title Holder on next page(if different E-Mail sfapbooks@soflalum.com
from the Owner listed above) State or County License
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
If value of HVAC is$7,500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRU ON LIEN LAV1!'.r•NFORMATIONe-
DESIGNER/ENGINEER: N1 Not Applicable' MORTGAGE COMPANY: X Not Applicable
Name: 00rid-a fij ]LQ j6ngi Name:
Address: Address:
City: State: F(�, City: State:
Zip: 33ta04r Phone 563 — ,� [4— 1!403 Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable 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 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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU)NTAND-TO-OBTAIN FINANCING, CONSULT
WITH YOUR tNDER OR AN ATTORNEY BEFORE RECORDING YOUR OT4 E-OF COMMENCEMENT."
Signature of ner Lessee/Contractor as Agent for Owner Si -Co icense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ST LUCIE COUNTY OF ST LUCIE
The forgoing instrurytent was acknowledged before me The for ding instrument was acknowledged before me
this day of 2011 by this' day of 1R OYi I 20 Z I by
if
GARY WHIGHAM GARY WHIGHAM
Name of person making statement. Name of person making statement.
Personally Known X OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Type of Identification
Produced Produced
kl, VV�� fa�� Al
(Signature of N (Signature of
r��510N
Notary Public State of Florida '� k� Nolrry Pubile Stile of FloridaCommission NoEmily N Hicks(Seal) Commission N EM4y N Hicks (Seal)
I My mission HH 037541 Mission HH 037541
Expires 08/30/2024 w p E3I1311`66 08/30/2024
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.