HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �$�a Permit Number: o'a.rj3
x rx RECEIVED
APR 0 8 2021
Building Permit Application Nrmitting Department
Planning and Development Services St. Lucie County
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential X
PERMIT TYPE:
r_
Address: %009 (S�lhdf 1 PT' CA\r__
Property Tax ID#: lj�)10 rJc)QCC)q X004 Lot No.
Site Plan Name: Block No.
Project Name:_2.ikkGi,K�S
14116
Nis
U�
CMMP CUt 1 Ox Pr i or dmr - no SRP Chango
Additional work to be performed under this permit-check all that apply:
_Mechanical —Gas Tank _Gas Piping _Shutters VI/Windows/Doors
Electric —Plumbing —Sprinklers —Generator _Roof Pitch
Total Sq.Ft of Construct,i�ton::�, Sq. Ft.of First Floor:
~Cost off Construction:$_ �yr�D �� Utilities: Sewer Septic --Building-Height:
--4 — — --
Name r,1 t 1/1 Name:JAMES D.DAVIS
Address: c1bo?j w1 1T-f rfr Company:J&G CARPENTRY, INC. _
City: R -C_ Qipf(.Q State:Tt Address:13461 79TH CT. N.
Zip Code: yQ U S Fax: City: WEST PALM BEACH State:FL
Phone No. Zip Zip Code: 33412 - Fax: 561-855-4054
E-Mail: Phone No 561t 855-4052
Fill in fee simple Title Holder on next page(if different E-MailX�CR
from the Owner listed above) State or County License CG C22831
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.
i
DESIGNER/ENGINEER: x_Not Applicable MORTGAGE COMPANY: _
Name: Name:
Address: Address:
City: State: City:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not
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-pla'ns,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 INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT:"
022
Signature of Owner/ see/Contractor as Agent for Owner Sign a of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF PALM BEACH
The forgoing instrument was acknowledged before me The for oing instr ent wa acknowI dg d before me
this Z4 day of KArYCR. 20�11 by this�day of 2�by
JAMES D.DAVIS
Name of person making statement. Name of person making statement.
Personally Known _OR Produced Identification Personally Known x OR Produced Identification
_ Type of Identification Type of Identification
Produce -- _Produced
(Sign ture of Notary ic- at re of Not ry Publi State of Florida)
SY Fy•••.
,� �.••••!�,�,; ANGELARIGGINS . vrue� ANGELAYOUNG
Commission No. ( �(� �� Commis 81�
�� i( �Z =*c .: OMMISSION#GG919 o ission No. a° G968864
;;, o`• EXPIRES:October 12,20 3
•F•••••o@� Expires April 12,2024
••,•,OF F�,,. Bonded.Tbru N Publlc Unde ices
OF �
REVIEWS FRONT ZONING SUPERVISOR PLANSi VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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