HomeMy WebLinkAboutBuilding Permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 7-13-21
Permit Number:
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Demolition
PROPOSED IMPROVEMENT LOCATION:
Address: 95 S. Brocksmith Rd Ft Pierce, FL 34945
Property Tax ID #:
Site Plan Name:
Project Name: NK
2308-311-003-000-7
DETAILED DESCRIPTION OF WORK:
Demolition of existing single family home
New Electrical Meter Second Electrical
(Affidavit required)
X
Lot No.
Block No.
I CONSTRUCTION INFORMATION: I
Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters
_ Electric _ Plumbing _ Sprinklers _ Generator
Total Sq. Ft of Construction: 2916
Cost of Construction: $ 2,000.00
Windows/Doors _ Pond
Sq. Ft. of First Floor: 2916
Roof Pitch
Utilities: __ Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name NK Land Holding LLC
Name: Jared Modine
Address: 302 S Brocksmith Rd
Company: Cole Construction Services, LLC
City: Ft Pierce State: FL
Zip Code: 34945 Fax:
Phone No. 772-467-1230
Address: 497 S. Brocksmith Rd
City: Ft Pierce State:_ FL
Zip Code: 34945 Fax:
Phone No 772-519-0558
E-Mail: krysten@natures-keeper.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail co co leconstruction�hotmail.com
State or County License 29778
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 CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Name:
Address:
Address:
City: State:
City:
Zip: Phone
_State:
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 or an attorney before commencing work or recording our Notice of Commencement.
Signa ure of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF ST G,UCJE
Sworn to (or affirmed) and subscribed before me of Physical Presence or _ Online Notarization
this J—�- day of JW 20 24 by
57�A27 F61S67/a
Name of person making statement.
Personally Known ZOR Produced Identification
Type of Identification Produced
(Si ure-ciLNeta7yPublic-State of Florida )
4P"Ay .p!'it, KRYSTEN BIEOER
Commission No. -4&�ZLSM1 (Seal) ng Commi6alon8130293821
Expires March 16, 2023
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