HomeMy WebLinkAboutBuilding Permit Application - PacholikAll APPLICABLE INFO MUST BE COMPLETED F,011 APPIICATiON TO BE ACCEPTED
Date:
Perrrfit Number:
04 X]i
COUNTY
F L D r,1 D A
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMITTYPE: -F�4-?kCT-
VJET L- A- t,
Address: 1-2- 1 ti
Property Tax ID #: 9 coo - o 6L) 1 00 - 0 Lot No.
Site Plan Name:
Block No
Project Name: Paf, h t) I ( V-
et
Additional work to be performed under this permit -check all that apply:
—Mechanical
Electric
GasTank
— Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ g000'O-Q-
Name
Gas Piping
— Sprinklers
Address:
City: A A I li-f State:
Zip Cocle., &Mn Fax:
Phone No. 120 7,
E-Mail-
Shutters
Generator
Sq. Ft. of First Floor:
.zWindows/Doors
Roof — Pitch
Utilities: —Sewer —Septic Building Height:_
Fill in fee simple Title Holder on next page ( if ifferent
from the Owner listed above)
N a m- ie-: Gary. Wh igharn
Company.- South Florida Aluminum Products
Address: 4807 S US HIGHWAY I
City: Fort Pierce State: FL
Zip Code: 34982 Fax: 772-466-1074
Phone No 772-466-0913
E-Mail sfapbooks@soflalum.com
State or County Licens
f value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
f value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
5UPPLEMENTALCONSTRUCTION LIEN LAW INFORMATION:
DESIGN ER/ENG IN EER: Not AppliC2ble*'
Name:_00rid47 01"2LW& 11!Ft7jinULr�D
Address: S_&oll I W IiC,�- —,T _ I_
— n jLr _M Z
C i ty: __T6t,7-;0n 0�� -P*- State: At,
Zip: _131�LQ 41 Phone VI a — j,_1 4 .7!4 o 3
FEE SIMPLE TITLE HOLDER: X Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone: -
BONDING COMPANY:
Name:
Address:
C ity:
Zip! Phone:
X NotApplicable
State:
X Not Applicable
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 Countv makes no representation that is granting aperm[t 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 YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOUJNT)Eh!R_T-&,GBTA1N FINANCING, CONSULT
WIT11 Y`(�URUCNbER OR AN ATTORNEY BEFORE RECORDING YOUR-NOTKE-OF COMMENCEMENT."
aturegt-Cl�rr1eyLessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF ST LUCIE
The forgoing instrument was acknowledged before me
thisjMdayof HfAf — — 202J_ by
GARY WHIGHAM
Name of person making statement.
Personally Known X OR Produced Identification
Type of Identification
Produced
Holder
STATE OF FLORIDA
COUNTY OFST. LUCIE
The f0rgglng instrument was acknowledged before me
th is -9—T'NaY Of —0 44Af— 20 3,1 by
GARY WHIGHAM
Name of person making statement.
Personally Known X OR Produced identification
Type of Identification
Produced
t1d2A I &nxLt:�ae Al,
(Signature of N (Signature of
Notary Public State of Florida Notary Public 8141141111 Of Flarda
Commission No. Emily N Hicks(Seal Commission N N Hicks
Miss= HH 017Ui N.- lr�I_y (Sea])
i0i If% Expires OSJ3012024 T t-Ornmisslao HH 03754 1
F P-'1=12'012024 ""_'4'
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DA—TE
RECEIVED
DATIF
COM PLETED
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