HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE
Date:
s�
"-u
C Lb LJ I LQr L!
:O MAST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Permit Number:
P L (2� L; t-�-
10,1
Building Permit Application
Planning and Development Services
Building and Cade Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax. (772) 462-1578
PERMIT APPLICATION FOR:
Commercial
PROPOSED IMPROVEMENT LOCATION_
Address: g$_n e1 mar dr Jensen beach fl.34957
Property Tax I D #: 4511-500-0057-000-0
Site Plan Name:
Project Name: after the fact
DETAILED DESCRIPTION OF WORK:
anchor and strap as per plans
New Electrical Miter Second Electrical Meter
CONSTRUCTION INFORMATION0
:
Additional work to be performed under this permit— check all that apply:
Mechanical � Gas Tank � Gas Piping _Shutters
Electric
Plumbing
Sprinklers
N*PA
Generator
Residential yes
Lot No. 28
Block No.
I
Windows/Doors Pond
Roof Pitch
Total Sq. Ft of Construction Sq. Ft. of First Floor:
Utilities: 1. Sewer Septic Building Height:
Cosh of Construction:$. � . - -- --
OWNER/LESSEE:
Nametodd and nand erkman
Address:98 n el mar dr
city. jensen beach fl. Stake:
Zip Code: 34957 Fax:
Phone No.410-353-1623
E-Ma'i'l:jeffberner@att.net
Fill in fee simple Title Holder on next page ( if different
f rom'
the owner listed above
CONTRACTOR:
Name.jeff mccauley
Company:franklyn const. L.I.C.
Address: 1 599 ne amy ave.
14
City: jens!an beach I State:^
ZiPCode:___ 34857 Fax:
Phone No772'263-9076
E,Malijeffberner@att.net
---
State or County Leicensecgcl 522.984
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:
Name: braden and Braden
Address:---..
City:State:
dip: Phone
FEE SIMPLE TITLE HOLDER: _Not Applicable
Name:
Address:_
City:
Zip: Phone:
Not Applicable
Name:
Address:
C&ty* State:
Zip; Phone: --
BONDING COMPANY:
Name:
Address:
City:
Zip; Phone:
_Not Applicable
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a perrmi to do the vuvrk and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
Lucie Countymakes r�o represen�a�C�on that is granting a permit will aut�aws or antlpc�venants that rinn ild y restsctbor proct rt'bit su�h
St.a.
which is in conflict with and applicable Home Owners Associafi�o� rules, y
structure. Please consult vrr�th your Home Owners Association and review your deed for any restrictions which may aPP�Y•
In consideration of the granting of this requested permit, I do hereby agree that I will, in �Qn��entsp����m ��Q work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County
The following building permit applications are exempt from undergoing a full concu�-ren �e� �D � 'Q�he� an additions,
dent�al use
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessary lt in mice for
WARNING TO OWNER: Stour failure to Record a Notice of Commencement may eco�ded payin
he pubiic records of St.
improvements to your property: A Notice of Commencement must
on thejobsite before the first inspection. if you intend to obtain financing, consuCt
Lucie County and posted
o� an at�orne before commencin v�ork or recordin our Nonce of Commencement.
with lender
P
?Signatu of Owne- ; � Lessee/Conti o as Agents dw er gnat ontra�or(Li ns Holder
STATE OF FLORIDA STAT OF FLORIDA,4, � t
COUNTY OF WZ.(� �f �'1 COUNTY OF � ��-
Swn to (or affirmed) and subscribed before me of
�P ysical Presence or �„�, Online Notarization
this I day of 2020 by
Name of person making statement. V/
Personably Known � OR Produced Ident�fcation
Type of Identification
ProducP,d Z.- C') �
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(Signature of Notary Public- Pt
Commission Na, "t� 2
REVIEWS
DATE
RECEIVED
DATE
COMPLETED
ev: STGW
FRONT
COUNTER
Swor o (or affirmed) and subscribed before me of
Physics! Presence or ,�_ Online Notarization
this day of 2020 by
Name of P
along mt
Personally KnowIdenfficationn�R Produced
Type of Identification
Produced
VOLAGE
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