HomeMy WebLinkAboutAPPROVED REVISION1OFFICE USE ONLY:
DATE FILED: q I I%
REVISION FEE:
PERMIT #
RECEIPT #
PLANNING & DEVELOPMENT SERVICES
BUILDING & CODE REGULATION DIVISION
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772) 462-1553
APPLICATION FOR BUILDING PERMIT REVISIONS
PROJECT INFORMATION
LOCATION/SITE
ADDRESS:
OD (k Calerd l4o a
DETAILED DESCRIPTION OF PROJECT
REVISIONS:
iuRa;h Z
rS 1o'X2ct' Chc[0569 VIR ehAz Oka- Anchor Spec- So �jI�ee M unl
CONTRACTOR INFORMATION:
STATE of FL REG./CERT. #: �z C I Z S 1-I S 2 z
BUSINESS NAME: co-00A 'l aY )2a Y
QUALIFIERS NAME: ich.tc :j-a kkij `6 h
ADDRESS: 10 (R r'�•a r G r L
CITY: —Dc/ko /l STATE: N �+
PHONE (DAYTIME): & q U `7ZLe 7-
OWNER/BUILDER INFORMATION:
NAME:
ADDRESS:
CITY:
PHONE (DAYTIME:
STATE:
ARCHITECT/ENGINEER INFORMATION:
NAME: I ec h
ADDRESS: S 1
CITY: D-e j r
PHONE (DAYTIME):
SLCCC: 9123109
Revised 06130117
ST. LUCIE CO CERT. #:
ZIP: 70
FAX:
ZIP:
FAX:
STATE: FC. ZIP:
FAX:
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
t L - UL
-`
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential x
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
IMPROVEMENT LOCATION:
Address: 6706 Salerno Road Ft. Pierce Florida
Property Tax ID #: 1301-612-0004-000.4
Site Plan Name: grant garage
Project Name: grant garage
DETAILED DESCRIPTION OF WORK:
enclosed metal accessory structure anchored in existing concrete
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 _Windows/Doors
_ Electric _ Plumbing
Total Sq. Ft of Construction: 260
Cost of Construction: $ 3050
OWNER/LESSEE:
_ Sprinklers _ Generator _ Roof
Sq. Ft. of First Floor:
Lot No.4
Block No. 119
_ Pond
Pitch
Utilities: _ Sewer _ Septic Building Height: 10
NameLinda Grant
Address: of06 Salerno Road
City: FT. Pierce
34951 State: _
Zip Code: Fax:
Phone No.772-453-3328
CONTRACTOR:
Name: Michael Johnson
Company: Carolina Carports
Address:187 Cardinal Ridge Trl
City: Dobson NC
State:_
Zip Code: 27017 Fax:
Phone No8006704262
Fill in fee simple Title Holder on next page (if different E-Maillustin.s@ccihq.biz
from the Owner listed above)
State or County License cbcl254822
it value or construction is 2500 or more, a If value of HAVC is $7,500 or more, RECORDED Notice of Commencement is reqt
a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
Name:aeu,+wFagin we g V`•'NNwuic
Address: ms w..t New Yam,.
City: oe�ne State: FLZIP Phone
FEE SIMPLE TITLE HOLDER: Name: Not Applicable
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: Not Applicable
Name:
Address.
City- State:
Zip: Phone:
BONDING COMPANY: • Not Applicable
—
Address:
City -
Zip= Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that noworkor installation has commenced prior to the issuance of a permit.
which is in Count makes
with any applicable lHo a owners ASssopationl ru es abylaws othe
andpcovenants that may restriictbor 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 Vnur ni ti,. s
Signa ure of Owner/ Lessee/Contractor as Agent for Owner
STATE OF i a
COUNTY OF_DfC,,41,v/
Sworn to for affirmed) and subscribed before me of
✓Physical Presence or Online Notarization
this 22 day of AAeirClri 2020 by
Li villa r*ro,wt—
Name of person making statement.
Personally Known OR
Type of Identification
No.
REVIEWS
Identification
M11.Gl__
Signature of Contra or/License Holder
STATE OF acFf
COUNTY OF 1�r� r% ✓
Sworn to (or affirmed) and subscribed before me of
✓Physical Presence or Online Notarization
thislg!dayof MoqYclt a 2020 by
Mt e.K—f •
Name of person making statement.
Personally Known ✓ OR Prod
Type of Identification
SUPERVISOR I PLANS
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