HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 4-21-21 Permit Number:
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° t w Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial X Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772)462-1578
PERMIT APPLICATION FOR: Door Replacement
PROPOSED IMPROVEMENT LOCATION:
Address: 2800 North Highway A1A, Fort Pierce FL 34949
Property Tax ID#: 1425-705-0000-000-2 Lot No.
Site Plan Name: Block No.
Project Name: Barclay Beach Club-Door Replacement
DETAILED DESCRIPTION OF WORK:
Replace exterior hollow metal door-Door size 40"x 96"
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
_Electric _Plumbing _Sprinklers —Generator _Roof Pitch
Total Sq. Ft of Construction: 10 Sq. Ft. of First Floor:
Cost of Construction: $ 5000.00 Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Barclay Beach Club Condominium Association 1, Inc Name:Michael J.Waldrop
Address:2800 North Highway A1A Company: Innovation Contracting, Inc.
City: Fort Pierce State:_ Address:PO Box 3747
Zip Code: 34949 Fax: City: Fort Pierce State: FL
Phone No.772-528-1519 Zip Code: 34948 Fax:
E-Mail:henry@keyirc.com Phone No 772-519-9108, ext 118
Fill in fee simple Title Holder on next page( if different E-Mail mwaldrop@innovationcontracting.com
from the Owner listed above) State or County License CGC1511910
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.
SUI�PI.iwNlENIA CONST UCT, 10N W INFaRMAT��l .
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: _Not Applicable
Name:NIA Name:NIA
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name:NIA Name:NIA
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.tg your property. A Notice of Commencement must be reco ded in the public records of St.
Lucie Count d posted on the jobsite before the first inspection. If yotend to obtain financing, consult
with lend an attorney before commencing work or recording o r,Notice of Commencement.
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Signa a of r ssee/Contractor gent,for Owner Signatur of Contractor older
STA E OF FLORIDA STATE OF FLORI A
COUNTY OF _ �C �' COUNTY OF I.JG
Swor to(or affirmed)and subscribed before me of Sworn o(or affirmed)and subscribed before me of
Ph sic I Presence or Online Notarization Physic I Pres ce or Online Notarization
this /of ," Ia 202�1 by thisy of 2021 by
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 �- Produced_
(Signature of Notary Public-State of Flo id ) Rebekah Hoy (Signature of Notary Public-State of FI ri )
NOTARY PUBLIC Rebekah Hoy
Commission No. a ESTATE OF IF RI gommission No. NOTARY PUBLi
2 Comm GG29461 STATE OF FLOR D
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEAT UR s I M:Hjit�2
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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