HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 5-19-2021 Permit Number: TBD
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Renovations
PROPOSED IMPROVEMENT LOCATION:
Address: 3601 North Highway A1A Hutchinson Island, Florida 34949
Property Tax ID'#: 1423-802-0001-000-1
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
Replacement of garage door. See accompanying Notice of Approval.
New Electrical Meter N/A Second Electrical Meter N/A
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters
Electric _ Plumbing
Total Sq. Ft of Construction: 130 Sq Ft
Cost of Construction: $ 2100.00
Sprinklers _ Generator
Sq. Ft. of First Floor:
Lot No._
Block No.
Windows/Doors _ Pond
_ Roof Pitch
Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name JoRocky Beach House LLC
Name: Richard Perry
Address:12800 SW 128th Street
Company: P2 General Contractors, Inc
Address: 4100 N Wickham Rd, Suite 107A, #152
City: Miami FI State: _
Zip Code: 33186 Fax:
City: Melbourne State: FL
Phone No. 305-220-3506
Zip Code: 32935 Fax:
E-Mail:jorocky93@gmail.com
Phone N0772.528.2416
'ill in fee simple Title Holder on next page ( if different
E-Mail p2gci@aol.com
from the Owner listed above)
State or County License CGC1504246
IT value oT Construction is LSuu or more, a KECURVEL) 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
Vame:
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 on the jobsite before the first inspection. If you intend to obtain financing, consult
with len¢'lNqr an attorney before commencing work or recording bgT�Notice of Commencement.
Signature
as Agent for Owner
Holder
STATE OF COUNTY OFO13Y'e\J0f6 I COUNTY OFWDA STATE OF�mt\IoTd
Sworn to (or affirmed) and subscribed before me of Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization x Physical Presence or Online Notarization
this day of _YYI�w1 -29i9 by this 1L(a- day of l�Gy 12929 by
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Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification x Personally Known _
Type of Identific do Type of Identification
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