HomeMy WebLinkAboutBUILDING PERMIT APPLICATION All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
RECEIVED
CQUANT
AUG 1 2 2021
F L 0 :A
Building Permit Application st,J�ufaleoounty
Planning and Development Services F��tt�ittlh�
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue, Fort Pierce-FL 34982
Phone:(772)462-1553 Fax: (772)462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address:` 114 QUEEN ELIZABETH CT.
Property Tax ID'9: '1414-701-0068-000-0 Lot No. E
Site Plan Name: QUEENS COVES UNIT 1 Block No..
Project Name: DAVID WRIGHT
DETAILED DESCRIPTION OF WORK:
TEAR OFF ROOF ,NAIL ,DRY IN ,STANDING-STEM
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: 6000 Sq. Ft. of First Floor:
Cost of Construction: $ 50,000.00 Utilities: —Sewer _Septic Building Height:.
OWNERAESSEE: CONTRACTOR:
Name DAVID WRIGHT Name:JOHN G CANNON -
114 QUEEN ELIZABETH CT
Address:
City: HUTCHINSON ISLAND. FL State: Adjes�s`'701;CITR,[ AS'PAi�KBLVp'`
�..
Zip Code: 34949 Fax: Cit j FO T P:IER EE,;;!f l'
>� :; ' { State: FL
Phone No. Zip•Code�R95`1 - "'='772-468-0202
`Fax:
E-Mail:` Phone'No 772=468-0272
Fill in fee simple Title Holder on next page(if different ,E-Mail JGCANNONROOFC ICLOUD.COM
from the Owner listed above)' State br County License CCC1330664
L
e of construction is 2500 or more,a RECORDED Notice of Commencement isrequired.
e of HAVC is$7,500 or more,a RECORDED Notice of Commencement is required.
1
SUPPLEM,ENTALCONSTRUCTIQ1\1 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.l 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 attorney before commencing work or recording our Notice of Commencement.
igna a of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF .�U . COUNTY OF
Sworn to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
ysical Pres m�e or Online Notarization Physical Presence or Online Notarization
thisAldayof AIAP, 2020 by this day of 2020 by
Name oft rson making statement. Name of person making statement.
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Prodjjced Produced
(SigYafttre of Notary Public-State of Florida ) (Signature of Notary Public-State of Florida ) .
••,..,......,,, !aMING
Commission No. RA
�GG275060 Commission No. (Seal)
mycowE*IRM December 20.2=
REVIEWS -ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 5/6/20