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HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED (9 0 Date: G 1 �. l Permit Number: v'� �� RECEIVED JUN 0 7 2021 o _ p; •: o . Y _< -, • Permitting Department Building Permit Application St. Lucie County 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: 'S PROPOSED IMPROVEMENT P♦�j LOCATION:, e6 Property Tax ID#: 3S 21 - tZoc`� - an l2_ -- C� Cc>.[ �� Lot No. Site Plan Name: %row 0 � ��i crw, �� ��.�� (� Q,S o Block No. Project Name-_Fv r, V- YC� J •R DETAILED DESCRIPTION OF WORK: New Electrical Meter Z— Second Electrical Meter CONSTRUCTION INFORMATION: Additional work to be performed under this permit- check all that apply: _Mechanical _ Gas Tank —Gas Piping _ Shutters _ Windows/Doors _ Ponds _ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch ��yy __ Total Sq. Ft of Construction: Gd Coo (5 Sq. Ft. of First Floor: 2,3Z9 Cost of Construction: $ /y �d, �� Utilities: 5K Sewer _ Septic Building Height: P OWNER/LESSEE: I I I CONTRACTOR: Name _Dr3a 1_ jc�I_RW Name: CJ c��$`�-ot 2>S 1�C, ddress: Address:- Company:_�.y"I City: 0 y4- State: Address: �(� _a e , tt, City: State:��.. Zip Code: W1 /XX i lVb Fax: Phone No.71—s•� 3 2_1(69 Zip Code: VL 01 fit! Fax:: E-Mail: r� grn �� lbw, I�vfim� ` t♦ LO 9Y� Phone No �' �6 '� / Zit Fill in fee simple Title Holder on next page( if different E-Mail v w\ Ck moLi1 , e from the Owner listed above) State or County License GR Ce 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. J `T SUPPLEMENTAL CONSTRUCTION. -LIEN LAW INF;ORMATIQN: DESIGN /ENGINEER: �Not Applicable _ MORTGAGE COMPANY: Not Applicable Name: :rr _ Name: Address 1 ` � Address: City: �7`- Lve- `jZJ State: City: State: Zip: 'i Phone= 12�-Os 77 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 attornev before commencine work or recordinw-uaur Notice of Commencement. ignature of Con for/License Holder Signature wner essee Contrac r as Agent for Owner STATE OF FLO�Ij�A 1101.V�-� STA E OF FLO COUNTY OF V n COUNTY OF I,UJ�� l Sworn to (or affirmed) and subscribed before me of 'V Swof n to (or affirmed) and subscribed before me of Physical Preset ce or Online Notarization this � day of n 2024 by V /Ph sical Presepce qr Online Notarization this 1 e • ` day of _ �Yi r— 202 f by pirri a.I! d f� `I h►� � Id �u� p ®� Name of person making staterfient. Name of person makind statement. Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identification 1 Ovi Qn' VtVtj Type of Iden�,ficatio Produced A—Okiyel'- Produced a G2.Y7 &-,- Lnud2 rio ri(CWSR� L_4�_ (SignatureW Notary Public- State of Wit, MARYLEEMATTI (Signature Notary Public- State of Flptrid�) MARyLEE MAIM 11'' a° ''••�•' `� commission # HH 08 Commission No. tT Q Q * 98 a° .•••••.'� '' II * Commisslon#HH08 2�ommission No. YT 9 m19 ExplresMarch6,2 N al) Expires March6,20 o�� Banded7TuuBudpMNo�q OF FI uvloes ° prFOF F`OP� 8aMed1lW BUdg9t N0Tery REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev. All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED /, C,/ Date: 1/1OI2o2o J Permit Number: 0j) Z C1 / a2 2 LTo EMIE 0 Fc A OF F2 Building Permit Applicatio %�,� ��63 �® Planning and Development Services Building and Code Regulation Division Commercial es den 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATIONTOR: New CBS Single Fan ( Home Address: Pelican Pointe DR Property Tax ID #: 3522-700-0012-000-8 Site Plan Name: Project Name: Kilby Residence New single family home, three story structure. New Electrical Meter X Secon Electrical Meter Additional work to be performe Mechanical i<Gas an %Electric API bing Total Sq. Ft of Constructia : 7654 Cost of Construction: Lot No. 8 Block No. c , 364rooh . y. S under this permit — check all that apply: k Gas Piping _Shutters Windows/Doors _ Pond sprinklers _ Generator Roof i'I A Pitch 0,0@0 Sq. Ft. of First Floor: 2634 Utilities: Sewer _ Septic Building Height: 34 ' Al � I .ti� 1 Yi >A�i. p , � �C�� � • � ka+�� 4 �"'��::. ;'tra Name Donald Kilb Name: Michael Wiltrack Address: 7G7 ,A"- otrace br • Company: Wiltrack Construction and Development Group,LLC. Address:532 S Colorado Ave City: s State: i(- Zip CorL Fax: City: Stuart State: FL PhoneD . 35 36 Zip Code: 34994 Fax: E-Mail Phone No 888.380.3065 E-Mail Mike@BuildWiltrack.com Fill in fee simple Title Holder on next page ( if different from the Owner listed above) State or County License CGC1525750 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. NC IN 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 granfing`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 len_dpr or an attorney b e commen ' work or recordi . our Notice of Commencement. Signature of Own r/ Lessee/Contractor as Agent for Owner IOSighature of Contractor/License Holder STATE OF FLORIDqPt. STATE OF FLORIDA COUNTY OF Mmrt,„ COUNTY OF M.rUn Sworn to (or affirmed) and subscribed before me of Sworn to (or affirmed) and subscribed before me of Physical Presence or Online Notarization this2o day of O C4,0- 2020 by Physical Presence or. Online Notarization this Zo( day of 0f4ok� 2020 by Name of person making statement. Name of person makin statement. Personally Known OR Produced Identification Personally Known OR Produced Identification Typ"ication. Pro c d 2-07315*07 Type of Identification Produced ture tary e o ' MY COMMIS ION # GG 033096 (rission=;r;o EXPIRE&iember25,2020 C NO. -+•.F Thn11Vo" PubGcUndeiwdter� (Sign ur of Notary - ION #GG033096 - �' ��rf�� � o?��-EXPIRES September25,2020 Co mission N o. , o� F� o Bonded Thm raIl'}o Underwriters REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.5/6/20