HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE C'vlvkETED FOR APPLICATION TO BE ACCEP 1"w u d
Date: � I I� Permit Number:
0
°' Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: enclose garage for storage
PROPOSED IMPROVEMENT LOCATION:"
Address: 8600 Penny Lane, Fort Pierce, FL 34951
Property Tax ID #: 1301-608-0194-000-9
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK::
remove garage door, enclose opening, install new impact -resistant windows
New Electrical Meter NIA Second Electrical Meter N/A
,,CONSTRUCTION INFORMATION:
RECEIVED
APR 0 9 1011
Permitting Department
St. Lucie Counti/
Residential X
Lot No. 6
Block No. 95
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
Total Sq. Ft of Construction: 280 Sq. Ft. of First Floor: 1320
Cost of Construction: $ 1200 Utilities: —Sewer _ Septic
Roof Pitch
Building Height:
OWNER/LES:SEE:
CONTRACTOR.
Name William and Diane Downing
Name: Owner builder
Address: 8600 Penny Lane
Company:
City: Fort Pierce State: _
Address:
Zip Code: 34951 Fax:
City: State:
Phone No. 610-349-0040
Zip Code: Fax:
E-Mail: BILNDIAN@aol.com
Phone No
Fill in fee simple Title Holder on next page (if different
E-Mail
from the Owner listed above)
State or County License
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 CONSTR'UCTION,LI,EN, LAW.INFO.RMATIQN
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name: Mills, Short&Associates - Jason W. Short k
Name: PennyMac
Address: 700 22nd Pace, Suite 2C/2D
Address: P O Box 514387
City: Vero Beach State: FL
City: LosAnseies State: CA
Zip: 32960 Phone 772-226-7282
Zip: 90051 Phone: 800-7774001
FEE SIMPLE TITLE HOLDER: X Not Applicable
BONDING COMPANY: x 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 lender or an attornev before commencing work or recording vour Notice of Commencement.
Signature of Owner/ Lessee/Contractor as Agentj6r Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF `SkC�
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 4_ day off ,\1 202k by
this day of 2020 by
\)3,oykc. wN aw VN �,nd►
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
7�>
Produced
(Signature of Notary P lic- State of FI ri
.(Signature of Notary Public- State of Florida )
�•p�„ DEANNAGIVENS
state
Commission No. f}CAG3 84� sj 086359da
Commission No. (Seal)
fiission
Expires an 28, 2025
ovF� MY Comm• F onal Notary Assn.
.tion
REVIEWS
FRONT
ING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.5/6/20