HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: z Permit Number:
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g j Building Permit Application
Planning and Development Services
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: Renovation permit
PROPOSED IMPROVEMENT LOCATION:
Address: 3432 Southern Pines Dr., Fort Pierce, FL 34982
Property Tax ID #: 2428-702-0065-000-8 Lot No.
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
Fire Damage Work to include removal and replace drywall in ceiling and insulation, replace drywall through out where needed,All duct
and exhaust fans replaced, inspection of all conductors in walls and ceiling by electrician and replacement where needed, Engineer to
evaluate and submit report for 2 trusses damaged at bottom cord. HVAC to be replaced by others, Electrical safety check to be completed by electrician, Roof to be done by others
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: $ 76,000 Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Richard Dennis Name: John Jacobs
Address: 3432 Southern Pines Blvd Company: John Jacobs Construction Inc.
City. Fort Pierce State: _ Address: 4701 Oleander Ave
Zip Code: 34982 Fax: City: Fort Pierce State: FL
Phone No. Zip Code: 34982 Fax:
E-Mail: Phone No 772-882-8334
Fill in fee simple Title Holder on next page (if different E-Mail lmtacobs4701@gmail.com
from the Owner listed above) State or County License CBC060421
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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: T Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
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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.
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 attorney before commencing work or recording our Notice of Commencement.
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