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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: ) FOL(1GUE R Permit Number: Building Permit Application Planning and Development Services Building and Code Regulation Division Commercial 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 4624553 Fax: (772) 462-1578 Address: 2901 Sheraton BLVD Fort Pierce, FL 34946 Property Tax ID #: 1432-805-0096-000-0 Site Plan Name: Project Name: Jamilah Mcpheason New Electrical Meter Second Electrical Meter Additional work to be performed under this permit —check all that apply: Mechanical Electric _Gas Tank _Plumbing Total Sq. Ft of Construction: Cost of Construction: $ " lI Name Jamilah Mcpheason Address:2901 Sheraton BLVD City: Fort Pierce Zip Code: 34946 Phone No, 470-418-7261 _Gas Piping Sprinklers _Shutters _Generator Residential _Windows/Doors Sq. Ft. of First Floor: _ Roof Lot No. 96 Block No. Utilities: _Sewer _Septic Building Height: Name: Scott Berman Company: Florida Window &Door Address: 1125 N Dixie Highway Fax: I City: Lake Worth E-Mail: Fill in fee simple Title Holder on next page (if different from the Owner listed above) Zip Code: 33460 Phone No 561-340-4 300 E-Mail howard@floridawindowanddoor.com State or County License 28576 If value of construction is 2500 or more, a RECORDED Notice of Commencement is required. If va1ue o9 HAVC is $7,500 or more, a RECORDED Notice of Commencement is required. Pond Pitch State: FL w % , SUPPLEMENTAL CQN.STRUCT10111;LIEN LAW IN.F©RNlAT10N 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: 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 qr an attorne before commencin work or recordingour Notice of Commencement. of Owner/ Lessee/Contractor as Agent for Owner SignatVCOF Signature of Contrac or Icense Holder STATFLORID 1 STATE OF FLORIDA COUNTY OF ��n;- COUNTY OF Palm Beach \S\yorn to (or affirmed) and subscribed before me of w rn to (or affirmed) and subscribed before me of X Physical Presonye or. Online Notarization P ysical Prese ce or Online Notarization this day of r) ^,h-.Q ZOW�b� this day of _J_, 262fl by �1 Jamllah Mcpheason Scott Berman Name of person making statement. Name of person making statement. Personally Known OR Produced Identification V Personally Known x OR Produced Identification dentifi Ty e of Identification C>- �t`� P o cedre ;rod. of Notary Pu - (Signature o'rNo i - t t Ii a Po' . LISA M. ESPOSITO Commission No. ; Q Notaryy��PI c State of Florida -, °+Pav "Ya Notary Public St of F orida Commission No. $ �F A Hamm ° Cotnmiss�on ; GJ 909465 My Comm. Expires Feb 15, 2023 —,---.Garni My Commission GG 343472 Expires 07/09/2023 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.