The URL can be used to link to this page

Home My WebLink AboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: - Building Permit Application Planning and Development Services Building and Cade Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34981 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x PERMIT TYPE: Address: W rn\ Vq) Q 0r, i r( �L Property Tax ID a: ON"I C)ML l?) off) 6 11mm Lot No.� Site Plan Name: Block No. P Project Name: �1 d'pr1iQ . fpuk no i Y1 Additional work to he performed under this permit —check all that apply: //'' _Mechanical _Gas Tank _Gas Piping _Shutters Windows/pools _Electric _Plumbing _Sprinklers _Generator _Roof Pitd1 Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction: $ 151 -66 Utilities: -Sewer —Septic Building Height: Name Y .0 o1g Name: JAMES D. DAVIS Address: fb Wmirxj VCJ r� Company: JBG CARPENTRY, INC. City: mri Vi Q r(Q State: ea _" . Address: 13461 78TH CT. N. Zip Code: JV Cl'?)a Fax: City: WEST PALM BEACH State: FL Phone No. �� a.q� 4 U 31 Zip Code: 33412 Fax: 581-8554054 E-Mail: Phone No 561-8554052 Fill in fee simple Title Holder on next page ( H different E-Mail from the Owner listed above) State or County License CGCO22831 N value of construction Is $2500 or more, a RECORDED Notice of Commencement is required. H value of HVAC Is $7,500 or more, a RECORDED Notice of Commencement is required. x not ApphCable I MORTGAGE COMPANY: Address: Address: City: State:_ City: State:_ Zip: Phone Zip: Phone: FEE SIMPLE BONDING COMPANY: Not Applicable Address: I Address: City: I City: Zip: Phone: I 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 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 YOU INTEND TO OBTAIN FINANCING, CONSULT W11TH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." 7./ ems'"'_ S--a'�� <- Rtr Signatu ner/Lessee/Contractor as Agent for Owner Signature or/Ucense Holder STATE OF FLOR!M COUNTYOF 7+ U1,6 STATE OF FLORIDA COUNTYOFP.a The rgoing instru en s acknowledged pefore me this day of 202by The fo oing instrujjnnen�t was acknowledged before me this day of 2 by r_ A van orye ) NMESD MW Name of person making statement. Name of person making statement. Personally Known OR Produced Identification Personally Known x OR Produced Identification Type of I entificatio Type of Identification Prod Iced) Ylkil LlC Produced CATHERINE JIMENEZ N tar Pubs:;,. gale of Flrride (Si natu of Not ii- lorfd✓n issipoa u,., =.rs, Ocrobx 8. 2023 p fEtRYbHtf6— (Signal he ofN yPublic-- i�Flond Commission a GG 968864 Commission No. —�—(Sean'" "" Commission No. °` �! pd112, 2024 J'a` ornoT Baw.Amu nr,ns^^m REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED — ,1,— f4.OR1OA JURAT F5117.05(13) — Effective January 1, 2020 State of Florida 1 County of PAI M BEACH 1l Swam to (or affirmed) and subscribed before me by means of M Physical Presence, —OR` ❑ Online Notarization, We /,z day of--IL 'Month 102E by Day Year JAMES D. DAVIS �yU///N_am/e o7f Person Swearing orAfllrtMng 2 / ` / /gnaorre of No Pubfk — State of Rodda ANGFI A YOUNG Nome of Notary typed, Printed or Stomped ANGEIAYOIING Commissionp GG 9fi9864 $J Personally Known eosn ma.a mryau�in una24 s,.,k., ❑ Produced Identification Type of identification Produced: Place Notary Seal Stamp Above Completing this information can deter alteration of the document or Baudufent reattachment of this form to on unintended document. Description of Anmh*d Document Tilde or Type of Document Document Signer(s) Omer Than Named Above: 02019 National Notary Association of Pages: