HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: March 26, 2021
Permit Number:
s
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1S78 Commercial Residential xxx
PERMIT APPLICATION FOR: Alteration
El —
PROPOSED IMPROVEMENT LOCATION:
Address: 8401 LAKELAND BLVD., FT. PIERCE FL 34951
Legal Description: LAKEWOOD PARK -UNIT 6- BLK 60 LOTS 8 AND 9 (MAP 13/02S) (OR 3322-588: 3719-2281)
Property Tax ID #: 1301-606-0068-000-1
Site Plan Name: McDowell Kitchen
Project Name: McDowell Kitchen
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Interior Kitchen Alteration
Lot No. 8 & 9
Block No. 60
CONSTRUCTION INFORMATION:
Additional work to ff
r orme un er t is permit —c ec a app y:
�HVAC Gas Tank Gas Piping _ Shutters Windows/Doors
11 Electric ❑ Plumbing Sprinklers FIGenerator Roof Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 28,332.00
Sq. of First Floor: 1,338
Utilities: I _ISewer Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Robert &/or Margaret McDowell
Name: Joshua Farrow
Address: PO Box 25
Company: Farrow Construction Corp
City: New Paltz State: NY
Zip Code: 12561 Fax: NA
Phone No.845-399-8105
Address:
City: Vero Beach State: FL
Zip Code: 32960 Fax: 772,217.3918
Phone No. 772.617.2488
E-Mail: NA
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: information@farrowconstruction.com
State or County License: CGC1508740
11 value of construction is 52500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Name:_
Address:
City:
Zip:
Phone
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:
xxx Not Applicable
State:
Not Applicable
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:.
BONDING COMPANY:
Name:
Address:
City:
Zip:_
Phone:
Not Applicable
State:
_Not Applicable
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 jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recordine vour Notice of Commencement
-
Signature'of wner/ Lessee/Contractor as Agent for Owner
Signatur actor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF----
COUNTY OF_,----,
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this 26th day of MARCH 20_ by
this 26th day of MARCH 20_ by
Margaret McDowell
Joshua Farrow
Name of person making statement
Name of person making statement
Person y K own OR Produced Identification
Personally Known xxx OR Produced Identification
Typ f Ide if'c tion
Type of Identificati
Pr
Produced
( gnature of Notary Public- Sta
nat e of Notary Public- S
;+i��u"•., RENEE E. EISWERTH
Commission No. HHQ44021 No ry Public - State of Flo
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;�aY �u� . RENEE E. EISWERTH
da a-.,��<<,;t ublic •State of Florid
C mission NO. 1H044021 �; ^ • i C�I,
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�' My Comm. Expires Sep 24, 2024
!�. My Comm. Expires Sep 20, 204
Bonded through National Notary
sr. Bonded through National Notary Ass
REVIEWS
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PLANS
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SEA TURTLE
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REVIEW
REVIEW
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REVIEW
REVIEW
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DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17
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