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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: oq Permit Number: 9ro 0 *term Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-15S3 Fax: (772) 462-1578 Commercial Residential x PERMIT APPLICATION FOR: RENOVATION PROPOSED IMPROVEMENT LOCATION:101 NE CAPRONAAVE Address: .1 u i rat UANKONA AVE, PORT ST LUCIE FL 34953 Property Tax ID #: 3419-530-0239-000-7 Site Plan Name: Project Name: SCAEFER RENOVATION DETAILED DESCRIPTION OF WORK: REPAIR VEHICLE DAMAGE TO EXTERIOT WALL REPLACE 3 WINDOWS 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 _ Electric _ Plumbing Total Sq. Ft of Construction: Cost of Construction: $ 83,450 Sprinklers Generator Xwindows/Doors Roof Sq. Ft. of First Floor: Lot No. 17 Block No. 40 Pond Pitch Utilities: —Sewer —Septic Building Height: 15' OWNER/LE=SSEE: CONTRACTOR: Name RICHARD & NANCY SCHAEFER Name: ROBERT CENK Address: 101 NE CAPRONA AVE Company: HOMECRETE HOMES INC City: PORT ST LUCIE State: Zip Code: 34983 Fax-- Phone No. Address: 2162 NW RESERVE PARK City: PORT ST LUCIE. State: FL I Zip Code: 34986 Fax: Phone No 772-873-6707 E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) IS i E-Mail MSHOWMAN a HOMECRETEHOMES.COM State or County License CGC062378 -- �• ••1- •-,- - 111UIC, d r«wr%utu ivouce oT 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 Name: WHOLE HOUSE ENGINEERING MORTGAGE COMPANY: _ Not Applicable Name: Address: 4451 ST. LUCIE BLVD, SUITE 201 Address: City: FTPIERCE State: FL City: State: Zip: 34946 Phone 772-409-1003 Zip: Phone: FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable Name: Address: Name: 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 inslapction. If you intend to obtain financing, consult h ender orAn attorney before commencing work or regbrOng your Votice of Commencement. /Y�- Signature of caner/ Lessee/Contractor as Agent for Owner Signature o Co tractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF STLUCIE COUNTY OF STLUCIE Swor o (or affirmed) and subscribed before me of Pki Rical Prese a or Online Notarization �2_ thisday of 202V by Sworn (or affirmed) and subscribed before me of ✓P06ical Presence or Online Notarization this day of202� by 6 Q L-P ri 1L 1 /_ t 1 1 /-P—A L_— Name of person making statement. Personally Known v/OR Produced Identification Name of person making stat ment. Personally Known:R Produced Identification Type of Identification Type of Identification Produced Produced (Signature of Notary Publi - Stat �.1 ' Notary Public State of Florida Commission No. �el�ssa D Showman aMy Commission GG 294 aid• Expires 01/24/2023 ure of Notary Public - 9r5om 'scion No. XMV .PAT sty, Notary Public State of Florida � i D Showman �ission GG 294495 o�w Expires01/24t2023 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev.