HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
O
U` m
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Commercial
PERMIT APPLICATION FOR: Replacement doors
PROPOSED IMPROVEMENT LOCATION:
Address: 2432 Oak DR, Hutchinson Island, FL 34949
Property Tax I D #: 1436-601-0051-000-9
Site Plan Name: Allee Doors
Project Name: Alle Doorse
DETAILED DESCRIPTION OF WORK:
Place Doors like for like as shown on plan
Residential xxx
Lot No. 2
Block No. 3
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 _ Windows/Doors Pond
_ Electric _ Plumbing _ Sprinklers — Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Allee, Doug Name: Jon R. Jackson
Address: 2432 Oak DR company: Seapointe Builders
city: Hutchinson Island FL State: Address:117 Queen Ann CT
Zip Code: 34949 Fax: City: Hutchinson Island FL State:
Phone No. 772-342-7081 Zip Code: 34949 Fax-
E-Mail: dalleel @bellsouth,net Phone No 772-332-1996
Fill in fee simple Title Holder on next page if different E-Mail seapointebuilders@comcast.net
from the Owner listed above) State or County License CBC1258532
•. ..,r,,�r u.arvrI rw r..ivv yr IIIWIC, a RtI1-vRUCU IVOUCe OT t ommencement 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. 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 granting of this requested permit, I do hereby agree that 1 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 attorpey before commencing work or recording our Notice of Commencement.
g ture of OwnerA
ontractor as Agent for Owner
ATE OF FL OUNTY OF r.L
/
Sworn to (or Irmed) and subscribed before me of ZPhysical Presence or Online Notarization
this Z0 day of ��L.!4 2021 by
o N .) Ac.►-so 0
Name of person making statement.
Personally Known OR Produced Identification
Type of Identification Produced FL {} iZ C.-e s a_
J-_"_'� alp.
(Signat re of Notary Public- ttate of Florid )
BEUNDA R.BOYD
CommissionNo.GG Z352g1 (Seal) Notary Pubdc - State of Florioa
Commission # GG 235291
My Comm. Expires Oct 27, 2022
Bonded through National Notary Assn.
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