HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 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: Replacement Windows and Doors
PROPOSED IMPl . ?VEMENT LOgnQN;
.oar _ 8005 San Carlos Dr Fort Pierce, FL 34951
Property Tax !D t#:: 13p1-Spa-pp62-ppp-�
Site Plan Name: Holycros5
Project Name: Holycross
DETAILED DESCRIPTION OFMORK
New Electrical Meter Second Electrical Meter
CONSTRUCTION INF[7tiMAT10N.
Lot No.32
Block No. 18
Additional work to be performed under this permit —check all that apply:
Mechanical _ Gas Tank T Gas Piping —Shutters Windows/Doors Pond
_ Electric _ Plumbing _Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor: _
Cost of Construction: 60,OOO.Qp
$ Utilities: Sewer _Septic
Building Height:
OWNER/LESSEE:.
CONTRACTOR:
Name im er y D ycross u 15 O ycross
Name: on Jackson
Address: 5 an Carlos r
Company: eapo►nte ul ers
City: FP State:
Address: Ueerl nn t
_
Zip Code: 51 Fax:n a
City: FP State: FL
Phone No. n a
Zip Code: Fax: n a
Phone No -577
E-Mail:n/e
Fill in fee simple Title Holder on next page ( if different
E-Mail seapointeul ers(Cbcomcast.net
from the Owner listed above)
State or County License 5
�.n. ul i.a,lC, c'nca.unucu nunce or Lommencemern 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:
Name:_
Address:
City:
Zip:
Phone
FEE SIMPLE TITLE HOLDER:
Name:_
Address:
City:
Zip:
Phone:
Not Applicable
State:
Not Applicable
MORTGAGE COMPANY:
Name:_
Address:
City:
Zip:
Phone:
BONDING COMPANY:
Name:_
Address:
City:_
Zip:
Phone:
Not Applicable
State:
Not Applicable
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 attg7ey before commencing work or recording our Notice of Commencement.
VATE
ture of Owner/ L e Contractor as Agent for Owner
OF FL I ANTY OF fir. L /
Sworn to (or firmed) and subscribed before me of V/ Physical Presence or online Notarization
this -5 day of Tip c, 20 Z ( by
J0N . AC'K 5 oX)
Name of person making statement.
Personally Known OR Produced Identification
Type of Identification Produced FL, !7 iZ L.� �4.4. SA—
of Notary Public -
Commission No. G G Z 35 2 aj l (Seal)
REVIEWS FRONT ZONING
COUNTER REVIEW
DATE
RECEIVED
DATE
COMPLETED
rfr°`r' Y
�LYp�' BELINDA R. BOYD
�,� ` Notary Public - State of Fiorfca
;. Commission # GG 235291
ofF ., My Cemm, Expires Oct 27, 2022
Bonded through National Notary Assn,
SUPERVISOR PLANS VEGETATION SEA TURTLE
REVIEW REVIEW REVIEW REVIEW
MANGROVE
REVIEW