HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: oq Permit Number:
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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
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o�w Expires01/24t2023
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