HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 04/15/2021 Permit Number:
RECEIVED
ST. LII IIE
COU.NT�Y ..
APR 19 2021
Building Permit Application f qrSt. Lucie County -
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 X
PERMIT APPLICATION FOR: HOME REMODEL - C <� k-w 5_
PROPOSED,'I'M P`ROVEM.ENT .LOCATION
Address: 9701 S INDIAN RIVER DRIVE, FT PIERCE, FL 34982
Property Tax ID #: 3529-221-0002-000/6, parcel 2
Site Plan Name:
Project Name: Galt Home Remodel
Lot No.
Block No.
DETAILED DESCRIPTION=OF WORK: °
house remodel; replace front columns with like wood post and hardware, replace rotten T1-11 on top of roof with hardy lap siding,
replace some rotten facia board with like facia board, replace cloth romex with new wire, add impact windows and doors,
replace some exterior siding on front, remodel 1 bathroom, replace kitchen
'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 —x— Windows/Doors _ Pond
—x— Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 601 000
_ Generator gr Roof
Sq. Ft. of First Floor: 1,297 sq ft UA/ 2,123 OA
Utilities: _Sewer _Septic Building Height:
Pitch
OyWNER/LESSEE:
CONTRACTOR:
Name Todd and Dana Galt
Name: `1-V� (,oi6r
Address: 8895 Yearling Drive
Company:-J. C&-bf-# A6PW SerVQe'S Lk4r—
.City: Laker Worth State: _
Address: 233(0 Nui AN&V4 5.
Zip Code: 33467 Fax:
City: P tom. 64-• C.cel'ell '&- State: FL -
Phone No. 561.723.1991 or 561.723.2001
Zip Code: *3L4 ?gam Fax:
E-Mail: dana@toddslandscape.com
Phone No— "i2 — (-2(P-30` !6
Fill in -fee simple Title Holder on next page (if different
E-Mail JCCV-bC4kk e vahop .corn
from the Owner listed above)
State or County License &uK4,#
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: Stater
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 on the jobsite before the first inspection. If you inten to obtain financing, consult
with lender or n attorney before commencing work or recArding your Notic§rlj6f C mmencement.
Signatt5ner/ Lesse n ctor as Agent for Owner
Signt re of Contractor/License Holder
STATE OF FLO� A Ly C
STA OF FLOR DA
T 1,1Z6
COUNTY OF kk `;
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 0.p T � , 2026 by
this day of a Pt C 1. , 202b by
]::)a(1( Lo t-4- •
5 sb o-,n Gs r 1}e,'*
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
Produced ql%_ 1p L-
Produced
1Z X=6 .U�
,
(Signature of Nota Public- State of Florida)
(Signature of No -
Commission No.Nc�c All 3% q (Seal)
;. �iiv"vu"• q DEANNA GIVENS
Commission No. N �. Notary public(�f)of Florida
g Commission x HH 086359
Al ""J'd� •., DEANNA GIVENS
oFA My Comm. Expires Jan 28, 2025
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