HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED U
Date: 3/9/2021 . Permit Number:
9 llo Ll' T CDIE RECEIVED
° Building Permit Application MAR 1 8 2021
Planning and Development Services
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1SS3 Fax: (772) 462-1S78
PERMIT APPLICATION FOR: Doors and Windows
Address: 110 N 39 Street, Fort Pierce, FL 34947
Property Tax ID #. 2408-603-0012-000-6
Site Plan Name: N / A
Project Name: N / A
k 4 S�
New Electrical Meter N / A Second Electrical Meter N / A
Permitting department
Residential xxx St. Lucie County
Lot No.3
Block No. 2
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: 1,690
Cost of Construction: $
Name Phyllis Carey
Address: 110 N 39 Street
City: Fort Pierce State:
Zip Code: 34947 Fax:
Phone No.
E-Mail:
Sq. Ft. of First Floor: 1,498
Utilities: _Sewer _Septic Building Height:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name. QUO iWl » /j(;UIT
Company:Andros Construction, LLC
Address: 2706 Atlantic Avenue COVN
City: Fort Pierce _ State:
Zip Code: 34947 Fax:
Phone No 772-475-4915
E-Mai I androsconstruction@gmail.com
State or County LicenseCGC1516095 / CCC1327225
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
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DESIGNER/ENGINEER:
_ Not Applicable
MORTGAGE COMPANY: _ Not Applicab
Name:
Name:
Address:
Address:
City:
State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE DER:
_ Not Applicable
BONDING COMPANY• Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
O�IVNER/ CONTRACTOR AFFIDVIT: Application is hereby madR'(o 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 lend.!r or an attorney before commencing work or recordine vour Notice of Commencement.
Sig essee/Contrac or as Agent for Owner
Si t re of Contractor License Holder
STA E OF FLORIDA � /, ,e`�
COUNTY OF
STATE OF FLORIDA
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