HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE `INFO WBT BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: l� Permit Number: 0- L Q
Building Permit Application
Planning and Development Services
Building and Code-Reg6ldiion"Division `c6m erciai
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
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PERMIT APPLICATION FOR:Complete remodel of existing pool Cabana
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Address: 8801 S Indian River DR. Fort Pierce, FL 34982
Property Tax ID #: 3519-502-0004-000-1 Lot No.
Site Plan Name: I Block No.
Project Name: Baysinger-Residence
Remodel of existing cabana
New Electrical Meter Second Electrical Meter
Additional work to be performed under this permit— check all that apply:
.,Mechanical Gas Tank _ Gas Piping ^ Shutters Windows/Doors _ Pond
.Electric I-Numb,ing Sprinklers
iota) Sq. Ft of Construction: - °yam
Generator UL Roof 5/12 Pitch
Sq.-Ft. of-Firstdoor:
Cost of Construction: $ Pdu,000.00 Utilities: _ Sewer Septic
Building Height: 16'
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Name Jeffrey.Baysinger
Name: Colin Delahunty.
Address:8601 S Indian River DR.
Company: Delahunty Construction & Custom Homes
City: Fort Pierce State:)rC.
Address:906 NW Sassafras Terrace
Zip Code: 34982 Fax:
City: Jensen Beach State: FL
Phone No.772-486-5997
Zip Code: 34957 Fax:
E=Mail; Jabaysinger@Y-ahooicom
Phone No772 291-5188
E-Mail Colin@Delahuntyconstruction.com
Fill in fee simple Title Holder on next page ( if different
State or County License CBC1 260634
from the Owner listed above)
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..
S11'ALCON R { TlON?LIEN LAW IIV'FOR11%IATIO'N
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DESIGN ER/.EN.GINEER . _ Not -Applicable. MORTGAGE COMPANY: x Not -Applicable
Name: Granfleld Architects Name:
Address:1683 NE. Jensen Beach Blvd. Address:
City: Jensen Beach State: FIL City: State:
Zip:34957 Phone72-2&3-6032 Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable _ BONDING COMPANY:
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
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°fallowing builditig•permit•applications are -exempt from- undergoing.a-fttlt.concurrenmreview:-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 #o obtain financing, consult
with lender or an attornev before commpncinL7 work or recordinLa sour Notice of Commencement.
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Si a r o ner/ Lessee/Con Vctor as Agent for Owner
Signatu of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF 34 UGI a
STATE OF FLORIDA
COUNTY OF
S$wn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
ysical Presence or
Online Notarization
Physical Presence or Online N tarization
this day of G
2029 by
this 10 day of 202,0 by
Y
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�a
Name of person making statement.
Name of person ma ring -statement.
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identific '
Produced
Produced
MORES
EAO""" .�LLRN
(Signature of Notary Public- S
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Commission No.
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eCommisslon # G 2700 9
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2� 2022
REVIEWS
FRONT
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SUPERVISOR
PLANS
,VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIE
REVIEW
REVIEW
REVIEW
DATE
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RECEIVED
3
DATE
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COMPLETED
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