HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APP.LICAffON TO BE ACCEPTED
Date: .1 2} Z Permit Number:
s.
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce F134982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential ►%
PERMIT TYPE: ft-GL rA ; vi S-h w4-t�
PROPOSED IMPROVEMENT LOCATION: -
Address: S3 C-_- wv-u
Property Tax ID #: 9410 - !; 03 ` 012_12 - Qpp - y Lot No. ( �0
Site Plan Name:' Block No.
Project Name: t�' n �wy-lowV-1 ,-
i
-OF WORK
CONSTRUCTION. INFORMATION:
Additional work to be performed under this permit -check all that apply:
_Mechanical _ Gas Tank _ Gas Piping Shutters
Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 240,Ou
Name F1INYtDWvq-uY
Address: EWW X"4/" U_ ►
City: Y ' f/Y LL 1i State:
Zip Code: 931- Fax:
Phone No. b lo —n4t l C
E-Mail: Ff`r QOQFl11t�i. CUM
_ Generator
Sq. Ft. of First Floor:
Windows/Doors
Roof Pitch
Utilities: _ Sewer _ Septic Building Height:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CO NTRACTQR
Name: Gary Whigham
Company. South Florida Aluminum Products
Address:4807 S US HIGHWAY 1
City: Fort Pierce State: FL
Zip Code: 34982 Fax: 772-466-1074
Phone No 772-466-0913
E-Mail sfapbooks@soflalum.com
State or County License
L 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.
SU�PLEMENTALCDNSTRUCT�DN LIMN �AW�N#=DRMATION:
DESIGNER/ENGINEER: _,< Not Applicable
Name: _adr1 a Q1"M[mCal),
Address: -4&6/ 0 &' rLrj"' S't . am 4
City: TCVV71 p 4"_ State: ` b
Zip: 33t2Qfi Phone srl a - 1:7 4- 7yp3
FEE SIMPLE TITLE HOLDER: X Not Applicable
Name:_
Address:
City:
Zip:
Phone:
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:.
x Not Applicable
State:
BONDING COMPANY: X Not Applicable
Name:_
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 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 .DOB SITE BEFORE THE FIRST INSPECTION. IF YOU INT NO.TO..OBTAIN FINANCING, CONSULT
WITH YDbR L&DER OR AN ATTORNEY BEFORE RECORDING YOUR NDTI1fF COMMENCEMENT_"
Si nature,qf- net Lessee/Contractor as Agent for Owner Sig e&_Cb
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ST LUCIE COUNTY OF ST LUCIE
The forgoing instrum nt was acknowledged before me
this _ day of 20_�, L by
GARY WHIGHAM
Name of person making statement.
Personally Known JAG OR Produced Identification
Type of Identification
Produced
(signature of N IN
ri!
Notary Publlc State ofFlonda
Commission NoEmily N Hicks(Seal
misswn HH 0 7541
n Expires 08/3012024
Holder
The forgoing instrurrient was acknowledged before me
this r day of 20' by
GARY WHIGHAM
Name of person making statement.
Personally Known x OR Produced Identification
Type of Identification
Produced
(Signature of
� •, Noimry Pwbtc Suits of Ftnrlde
Commission N 2 Erl ly N Hicks Seal]
E xplrt� Odi3Q 2024 03734 t
wn
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE I MANGROVE
COUNTER REVIEW REVIEW I REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED