HomeMy WebLinkAboutORIGINAL Building Permit Application, SEE CORRECTED ADDRESS All APPLICABLE
rINFO
rMUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 003
Date: �' d` d� I Permit Number:
RECENE
9�'�°LUCL - JUL 0 2 2021
o v �
-- County
Building Permit Application St.Lucie parmi frogttinq
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:
RROPOSED IIVIPRO_VEMENI' LOCATION
Address: 2916/ 2946 Curtis King Blvd., Fort Pierce FI.
Property Tax I D#: 1429-323-0002-000-6 Lot
No. Site Plan Name:
Block No. Project Name:
,DETAILED.D.ESCRIPTION,.O.F WORK „
Demolition of existing steel building
Su_n S1I, n e ^ \q\ 1Da31Dz
New Electrical Meter Second Electrical Meter (Affidavit required)
:CO N STR U CTI O N.I Nf O R(VIATI O_N..
Additional work to be performed under this permit—check all that apply:
_Mechanical _Gas Tank —Gas Piping _Shutters _Windows/Doors _Pond
x Electric x Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction-10M 0 Sq. Ft.of First Floor:
Cost of Construction:$ $40,000.00 Utilities: _Sewer —Septic Building Height:
OWN E_R./LESSEE CQNTRACTOR
Name APP Jet Center Name: Barry Morris
Address: 2916 Curtis King Blvd Company: St. Lucie Structur -s
City: Fort Pierce State: fl Address: 4888 N. Kings Hwy.,225
Zip Code: 34946 Fax: City: Fort Pierce State: FI
Phone No. Zip Code: 34951 Fax:
E-Mail: Phone No 772-971-3581
Fill in fee simple Title Holder on next page(if different E-Mail bigbmorris@aol.com
from the Owner listed above) State or County License CBC034300
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'CONSTRUCTIONLIEN LAW INFORMATION: '
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable
Name: St Lucie County Name:
Address: 2300 Virginia Ave. Address:
City: Fort Pierce Fl. 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 attorney before commencing work or recording your Notice of Commencement.
1� e l
=Sigi�re of OwneAesse0contractor as Agent for owner
STATE OF FLORIDA S4. ) .
'J) t.. ) e
COUNTY OF
Sworn,Ao(or affir d)and subscribed before me of Physical Presence or Online Notarization
this ofday of_11 I A It-,, 20� by
r r 'I
Name_R`person 1ma king statement.
Know Known OR Produced Identification
Type of identification Produced
(Signature of NotaryiPublic-State of Florida U
Public Undew ite
AUDREY B.HUMPHREY
A DREV I R:E
U y
300817
_023 Bonded ThrU NOWY
L:13MY0
Commission No. (Seal) AUDRE'-f' dR'EY
EFF
MY COMMISSION#GG 3008`17
Co
J",�,G 300817
mycow.!�
EXPIRES:March, 6,2023
.10 EX EX"'? ,:irch 6,2023
Bonded 1 ublic Undenvdiers
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED