HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Da te: 4/12/2021 Permit Number:
S5r. LUCILE -
V .0
" LOR I D Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Ramlow
PROPOSED IMPROVEMENT LOCATION: 1111111111111.11111111111111.1111i
Address: 3951 Avenue I
Property Tax ID #: 2405-705-0006-000-5 Lot No. .3 --II
Site Plan Name: SUNLAND GARDENS ADDN BLK 4 LOTS 3 AND 4 AND W 55 FT OF LOT 5 Block No. Li
Project Name: Ramlow
REMOVE & REPLACE SHINGLE TO SHINGLE
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit — check all that apply:
Mechanical _ Gas Tank Gas Piping _ Shutters Win /Doors Pond _
Electric Plumbing Sprinklers Generator Roof 4/12 Pitch
Total Sq. Ft of Construction: 1400 Sq. Ft. of First Floor:
Cost of Construction: $ 9500.00 Utilities: Sewer Septic Building Height:
,
Name William Ramlow Jr N ame:NAKIA GELLER
Address:20 Ramlow Rd Company:
Ci ty: Chester State: Address: 1131 US HWY 1
Zip Code: 10918 Fax: Ci ty: MELBOURNE State:FL
Phone No. Zip Code: 32904 Fax:
E -Mail: Phone No 772-646-8728
Fill in fee simple Title Holder on next page ( if different E -Mail HHR00FING4@GMAIL.00M
from the Owner listed above) State or County License R029027628
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.
DESIGNER/ENGINEER: Not Applicable
Name:
MORTGAGE COMPANY: Not Applicable
Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
BONDING COMPANY: Not Applicable
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 paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County 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 recording your Notice of Commencement.
Signatur of Owner/ see/Contractor as Agent for Owner
STATE OF FLOBADA
COUNTY OF 1.4,-Nek.)cA rd
Signa Contr or/License older
STATE OF FLORI944
COUNTY OF v4ceuor d
Swor o (or affirmed) and subscribed before me of
Physical Presgnce or Online Notarization
Swop-to (or affirmed) and subscribed before me of
Physical Pre nce 9r Online Notarization
this 1?-- day of H f ,1 , 202i by this 1:71 - day of fir i , 202(1 by
jtAilaki ‘A ' i/ 144 01 ie ,--
Name of person making statement.
'---Personally Known l'' OR Produced Identification
Name of person making statement.
Personally Known V OR Produced Identification
Type of Identification
Produced
Type of Identification
Produced
ignature of Notary Public- State
Commission No. 5 -15 —(11
,'"'% DANIELLE
_ 4"4t1.'" Slat of Florida-Noter_y_Public
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SPEAK
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DANIELLEmis..0_,c,vor t.Florida-N
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PI - Coemmission
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May 15, 7(122
Expires
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, „,,p,„- My Commission Expir ,,,,,, 00 May 160 2022
REVIEWS FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 5/6/20
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