HomeMy WebLinkAboutBuilding Permit Application (2)f
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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:
PROPOSED IMPROVEMENT LOCATION:
Arldrps 2671 Conifer DR Fort Pierce, FL 34951
Property Tax ID #: 1334-502-0080-000-4
Site Plan Name:
Project Name: Cowan
DETAILED DESCRIPTION OF WORK:
Replace ILA windoW ,5 ' ►r)
') 2_r_ Ann-I0)Y11X4. CU3E0I
it;r �a�c�-In ►rnon�ac� 1T7
Lot No. 199
Block No.
fyr
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit — check all that apply:
_Mechanical _ Gas Tank —Gas Piping _ Shutters X Windows/Doors _ Pond
Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 39304 Utilities: —Sewer —Septic Building Height:
OWNER%LESSEE:
CONTRACTOR:
Name Peter Cowan
Name: Roberto Sanchez
Address: 2671 Conifer DR
Company: The Home Depot
City. Fort Pierce State: E�L
Zip Code: 34951 Fax:
Phone No. 360-770-8883
Address: 2455 Paces Ferry Rd
City: Atlanta State: GA
Zip Code: 33039 Fax:
Phone No 754-224-2010
E-Mail: jpcowan4@comcast.net
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail robertosanchezthd@expeditepermit.com
State or County License CGC1522717
If value of construction is 2500 or more, a RECORDED Notice of commencement is requires.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLE ENTAL CONSTRUCTION LIEN LAW INFORMATION.
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: Not Applicable
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 lanriar nr an attnrnpv hPfnre commencing work or recording vour Notice of Commencement.
GG�t�rC:�•l'� C�,;s� «�
/�LIi�G�G%�2yC�k��i
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF lc�_y e_
COUNTY OF Lr z.
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
J Physical Presence or Online Notarization
/"Physical Presence or Online Notarization
this .S' day of 2020 by
thisj day of lgy� 202gr by
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Name of person making statement. = CO � ti�
Name of person making statement.
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Personally Known OR Produced Iderlfi�a@
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Personally Known OR Produced Identificatiot
Type of Identification o < f-
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Type of Identification
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(Signature of Notary Public State of Florida)
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Commission No. �6 fij 77 (Seal)yb��ao��y
Commission No. ;os> ' (Seal)
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