HomeMy WebLinkAboutBuilding Permit Application s�--6 t C
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED (-Date aj` N Permit Number: W
a Building Permit Application `��cpd �'
Planning and Development Services �� �'�
Building and Code Regulation Division Commercial Residential XX
2300 Virginia Avenue, Fort Pierce A 34982
Phone:(772)462-1553 Fax:(772)462-1578
PERMIT APPLICATION FOR: A. Thomas Const Inc
PROPOSED IIVIPROVENT," .LOCATION:
Address: 5811 Hickory Dr Ft Pierce, FL 34982
Property Tax ID#: 3402-609-0435-000-0 Lot No.37
Site Plan Name: indian River Estates Unit 08 Block No. 63
Project Name: Residential home attached deck&railing to front
DETAILED DESCRIPTION OF WORK:.:
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I�1/�(y►r►r►-otr��y
New Electrical Meter Second Electrical Meter
CONST. TION:INFORMATION•
Additional work to be performed_ under is,_perm check all that apply:
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_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:$ AS00- Utilities: —Sewer _Septic Building Height: .
OWNER/LESSEE CONTRACTOR:
n,
Name Sayco Equity Fund K LLC Name:A.Thomas Const Inc Andrew Thomas
Address: 7491 N Federal Hwy C5=-270 Company: A THOMAS CONST INC
City: Boca Raton FL State:_ Address: P.O. Box 3285
Zip Code: 33487 Fax: City: Ft Pierce State:FIL
Phone No. 561-935-3991 Zip Code: 34948 Fax:
E-Mail:troyg@assetmanagement Phone No 772-216-589&
Fill in fee simple Title Holder on next page(if different E-Mail atconst06@yahoo.com
from the Owner listed above) State or County License QGC1522275 SLC 29048
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.
SUPPLEIVIE,NTA1 CONSTRUCTION LIEN LAW INFORMATION �� � a." ,{ \
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name:Paul Welch Name:
Address: 1984 SW Biitmore St Ste#114 Address:
City: Pod St Lucie State: FL City: State:
Zip: 34984 Phone 772-785-9888 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 intend to obtain financing, consult
with leAderopan attorney before commencing work or recording our Notice of Commencement.
S re PIPW,ner es Contractor as Agent for Owner Signature of Contractor/License Holder
/STATE OF FLORIDA STATE OF FLORID
COUNTY OF Sm- COd-7." COUNTY OF �
w rn to(or affirmed)and subscribed before me of SvJ�jn to(or affirmed)and subscribed before me of
Physical Presence or Online Notarization /V_Physical Presence or Online Notarization
this day of G ti� ,2y thisr�'P day of by
rro u C�ce, <<ac ck rG.om
Name of pers n making statement. Name of person making statement.
Personally Known OR Produced Identification Personally Known Y\,- OR Produced Identification
Type of Identification Type of Identification
Produc d Produced
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( i n t 're ota Pub' %of�&M%, s\oj, �p�2023 (Signature o ary Public-St to of Florida)
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Commission No. �Qe Commission No. (Seal)
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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