HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED o I
Date: Permit Number. 1
Building Permit Application
Planning and Development Services e
Building and Code Regulation Division Commercial X Residential
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)4624553 Fax: (772)462-1578
PERMIT APPLICATION FOR: e�C
PROPOSED IMPROVEMENT LOCATION:
Addres h A1A, N Hutchinson Island, 34949
Property Tax ID#: 1414-310-0001-0003 and 1414-230-0009-0004 Lot No.
Site Plan Name: Cristelle Cay Block No.
Project Name: Cristelle Cay
,DETAILED DESCRIPTION OF WORK:
T.aAPRRARY CONSTRUCTION FENCE
1 +IU
New Electrical Meter Second Electrica Meter fiCJL10 ` f s�-
CONSTRUCTION INFORMATION: 44
Additional work to be performed under this permit-check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors _Pond
_Electric _Plumbing _Sprinklers —Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ fence is leased Utilities: _Sewer _Septic Building Height:
S Qz�rC7
OWNER/LESSEE: CONTRACTOR:
NameCardinal Ocean Development Name:David D Gilman
Address:PO Box 643328 Company:Cardinal southern equities
City: Vero Beach State:_ Address:1700 S. Ocean Blvd.
Zip Code: 32964 Fax: City: Lauderdale by the Sea State:FI
Phone No.954-410-3030 Zip Code: 33062 Fax:
E-Mail:ocean4804@aol.com Phone No954 410 3030
Fill in fee simple Title Holder on next page(if different E-Mail Cardinalsouthem@aol.com
from the Owner listed above) State or County License CGC 1506471
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.
SUPPLEMENTAL CONSTRUCTION LIEN.LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: 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 In the jobsite before the first inspection. If you intend to obtain financing, consult
with lender or an atto a before commencing work or recording our Notic f Commencement.
Signature of Ow er/ esse Contractor as Agent for Owner Signature of Contra / ' ense Holder
STATE OF LORI STATE OF FLO
COUNTY �)
F COUNTY OF
Sworn to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
Physical Presence or Online Notarization Physical Presence or Online Notarization
this day of 2020 by this day of n 12020 by
o
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Pr uced Produced
tl�
(Signat re of Notary Public-4SeEof Florida) (Signature of Notary Public-Sta of Florida)
Commission No. __AS {NA Commission No. (Seal)
LAS ►Iva l
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REVIEWS UPERVISOR PLANS VEGETATI :F F ; E
COUNTER REVIEW REVIEW REVIEW REVIEW R'D
DATE
RECEIVED
DATE
COMPLETED
ev. 5/6/20