HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 4 �� Permit Number: a`0 4' c°'situ
I RECEIVED
Building Permit Application
APR 08 2021
Planning and Development Services
Building and Code Regulation Division . 11trmitting Department
2300 Virginia Avenue,Fort Pierce FL 34982
St. Lucie County
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT TYPE: d �S
i
Address:
Property Tax ID#:JYUL 1 -60L7 -fXX)-gl Lot No,
Site Plan Name: Block-No.2
Project Name:
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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: G Sq. Ft. of First Floor:
Cost of Construction:$ b o Utilities: —Sewer —Septic Building Height:
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Name
n'.nn or z .I Name:JAMES D.DAVIS
Address: P� I rL' @V- L15- - Company:J&G CARPENTRY, INC.
City: _ c�j State:EL Address:13461 79TH CT. N.
Zip Code: 3'1I Fax: City: SST PALM BEACH State.FL
Phone No. 7 -�I •- � I I Zip Code: 33412 Fax: 561-855-4054
E-Mail: Phone No 561-855-4052
Fill in fee simple Title Holder on next page(if different E-Mail l� n �,i P��lh r �•�
from the Owner listed above) State or County License CG 022831
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.
DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _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 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."
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Signature of Owner/Less /Contractor as Agent for Owner Sign at of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF IIJ7 Ll•'6e COUNTY OF PALNI BEACH
The forgo instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of Ma-C 20a by this .� day of c 20a( by
EtNT-\ 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
Produced L p Jasmine Reid Produced
Notary Public
i State of Florida
Comm#HH030875
)gnuillof Notary Public-State a da�*Ires 8/10 20 44 (Signatur of Nota Public- tot f Florida�c��ihMGELAYOUNG
Cpp{�MI�j�ion#GG 968864
CSon No, } )�J�S (Seal) Commission No. � oz 1E69A April 12,2024
9rFOF:`o Bonded ThruBudgetNotaryServices
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.2/7/19