HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: h-S 10t- /1,0 2-1 Permit Number:
.COUNTY
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) 462-1578 Commercial Residential ✓
[P�mTYPE: C0VA(/V-t+t' TWO
PROPOSED IMPROVEMENT LOCATION:
Address: SE (.�I�ST1r GTPort St- L4k"-e- Ft, 941Y3
Property Tax ID#: ?4-1 I- 940- 01(1 V00-7 Lot No.
Site Plan Name: Block No. 4(
_
2
Project Name: Do M 1,0�
DETAILED DESCRIPTION OF WORK:
zy Z _ i
CONSTRUCTION INFORMATION:
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: -33b Sq. Ft. of First Floor:
Cost of Construction: $ 2,100 Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name NniloyosVW, (3-w Name: Gary Whigham
Address: 114 �v Company: South Florida Aluminum Products
City: ? 0V fi Ct 1AA t State: FL Address: 4807 S US HIGHWAY 1
Zip Code: 34q, 3 Fax: 0 )W City: Fort Pierce State: FL
Phone No. PJ Ilk Zip Code: 34982 Fax: 772-466-1074
E-Mail: tJI4 Phone No 772-466-0913
Fill in fee simple Title Holder on next page ( if different E-Mail sfapbooks@soflalum.com
from the Owner listed above) State or County License CRC1330712
it vawe or construction is:>25UU or more, a KtCukUtU Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN IAW'NFORMATION:
DESIGNER/ENGINEER: —,)C Not Applicable'
Name:
Address: S o i St m Z t1
City: _ �airn�� _ State: � iL
Zip: —3:;(aQta Phone
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY:
Name:_
Address:
City:
Zip:
Phone:
x Not Applicable
State -
x 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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU N7ND,.TO-OBTAIN FINANCING, CONSULT
WITH TdUR t DER OR AN ATTORNEY BEFORE RECORDING YOUR-N0T ,CE OF COMMENCEMENT,"
V �� •`
Signature ner Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF ST. LUCIE
The forgoing instru ent was acknowledged before me
this L day of 20, by
GARY WHIGHAM
Name of person making statement.
Personally Known X OR Produced Identification
Type of Identification
Produced
rise Holder
STATE OF FLORIDA
COUNTY OF ST LUCIE
The folaing instru ent was acknowledged before me
this—Ttday of 20]a by
GARY WHIGHAM
Name of person making statement.
Personally Known X OR Produced Identification
Type of Identification
Produced
(Signature of N
(Signature of
�+Or
Commission No.
Notary Public State of Florida
Emily N Hicks(Sealjj
�40
Notalry Public 5l•fe of Florida
Emily N Hlcka
missron HH 017541
Expires 08/30/2024
Commission N
Seal
RitltNpn HF11037�11
p,R
p, p
Exprrrr 0815G120?4
REVIEWS FRONT
ZONING SUPERVISOR
PLANS f VEGETATION
SEA TURTLE MANGROVE
COUNTER
REVIEW REVIEW
REVIEW REVIEW
REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 7]�