HomeMy WebLinkAboutBuilding Permit Applicationa
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: I IL • `2-d Permit Number: S 0 3 OJ�
RECEIVED
Building Permit Application MAR fl .
7021
Permitting Departmen",
Planning and Development Services St. Lucie C
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: w-O, V4 — L Li_,CJ— g� �g1,& ��k�) 5�
[ PROPOSED IMPROVEMENT LOCATION:.
Address: -Z a 0 01 -D � er Ra (T-- -AV-f 2 �R- r!) e-YU12. '-54'-N 5 (- 2
Property Tax ID #: 13 0) ` W- t 5 - O I. Lilo - 000 , 0 Lot No. 3
Site Plan Name: Lakewood Park Block No..) `i'.
Project Name; WJH FL L C
DETAILED DESCRIPTION OF WORK:. e
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 Nutters
�lectric `Plumbing— Sprinklers V_ Generator
Total Sq. Ft of Construction:(I 0 *
Cost of Construction: $ V 2 Z
endows/Doors _ Pond
odf Pitch
So. Ft. of First Floor: _I CA- ",L.V
Utilities: —Sewer Septic
Building Height:) 4C 1/I
OWNER/LESSEE:
;CONTRACTOR:
Name W 1H FI LI_C;
Name: .Morey Doyle
Address: 3091 Govemors Lake Or Suite 200
Company: WJH FL LLC
City: - Norcross - State: GA
Address: 3091 Govemors Lake Or Suite 200
City: Norcross State: GA
Zip Code. 30071 Fax: NA
Phone No.. (321)270-6629
Zip Code: 30071 Fax: NA
Phone No (321)270-6629
E-Mail: Heather.Oahlin@CenturyCommunilies.com
Fill in fee simple Title Holder on next page ( if different
E-Mail HeatherDahOhOCenlurvCommunitlas.com
from the Owner listed above)
State or County License CGC1517456
If value of construction is 2500 or more, a RECORDED Notice or commencement is requirea.
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: Muthem&Kula
Address: 300 Brookside Ave
MORTGAGE COMPANY: Not Applicable
Name:
Address:
City: State:
Zip: Phone:
City: Ambler State: PA
Zip: 19002 Phone (215) R46-Rnnl
df
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address: _
City:
Zip: Phone:,
BONDING COMPANY: Not Applicable
Name:_
Address:
City:
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 con (ict with ariy applicable Home Owners Association rules; bylaws, or and covenants that may restrict or prohibit such
structure. Please consultwlth 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 nttorne before commencin work or recordiri our Notice of Commencement.
5ignatur _' caner/ essee/Contractor as Agent for OwnerCature
of G 'tracfor/License Holder
ST ORIDA
F FLOWA
t`jr�V L� rri�
COUN OF 1 re,-czc-H
COUNTY OF
Sw n to (or affirmed) and subscribed before me of
o (or affirmed) and subscribed before me of
S/QP
Notarization
Physical Presence or Online Notarization
ysical Presence or Online
2020 by
this � day of 'DeCCOC112 � 2020 by
this day of (7�L�M .
err oL,11
G'�. ►gyp 1 C�
ement.
Name of person m :7011
Name of person ma mg s tement.
Personally Known OR Produced Identification
Personally Known Produced Identification
Type of Identification
Type of Identification
Produced
Produced. -.
(Signature of No QA ..ifir
(Signature of Not
fYeilry f�v1Mc Sw 91 l°IOtiO�
� 0
�/ , # s d Fro�tn
Commission No. f� Cep
Commission No. , �I 'a
J1{W pip
E
E>�w oeioe/soQs
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 5/6720