HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date. 2-12-2021
Permit Number:
91r. EMCEE
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:14 X 14 GAZEBO
Pik, M
ROOM*'
Address: 3275 MATTHEWS RD rap 191 r-
Z6t-- _3 L
Property Tax ID #: Z 3 2 Qe) 0 -5r- 000 - q Lot No.
Site Plan Name:
Project Name:
Block No.
%=
=I�M
M.,
t4,
ff
New Electrical Meter Second Electrical Meter
ON
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: lq4 Sq. Ft. of First Floor:
Cost of Construction:$ JQeZT6,04 Utilities: —Sewer —Septic- Building Height:
A S
110
Name arn e- _� L5 C_ h3I gl c R
Name: MARK JENKINS
Address: 1K27:i:
Company*ABACOA CONSTRUCTION LLC
�'pty- F-be-1 a-pre_e State-. F4
Address-60513ELVEDERE RD
,,,'Zip Code; �_q Q 4 S' — Fax:
City: WEST PALM BEACH State: FL
Phone No.
Zip Code: 33405 Fax:
E-Mail:
Phone No561722-3890
Fill in fee simple Title Holder on next page (if different
E-MallABACOACONSTRUCTION@GMAIL.COM
from the Owner listed above)
State or County UcenseCGC 1513481
1 1
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.
1
EM SUPPLENTAL CONSTRUCTION
LIEN IAW fNFORMATION z
vt v4. .._v1•?r
K
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 ermit holder to build the subject structure
which is in conflict with anX,y applicable Home Owners Association rules, bylaws or an9covenants that may restrict or prohibit such
structure. Please consult w1th 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 Ipnripr nr an attnrnpv hpfnrp r_nmmeneine work or recordine vour Notice of Commencement.
Signatu of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDO
COUNTY OF S, T Lucie
COUNTY OF `r�kM c Lh
Sworn to (or affirmed) and subscribed before me of
Swof n to (or affirmed) and subscribed before me of
Presence or Online Notarization
V Physical Presence or Online Notarization
--),,/l`hysical
this 29 day of Qgc e.mtgg,-- . 2020 by
this 2-&� day of �r e m h er . 2020 by
,darn C C nLjj
M
.
Name of person making statement.
Name of person making statement.
%P.ers6nakiy�Known OR Produced Identification D • L.
Personally Known OR Produced Identifica�tons
Type'of l�ieli`ti#ication
Type of Identification Y• y -
< Priidticed'f r
aP uced
AM
a of No ub ►c- Ira
(Srgnat E ary ubli t
Co � ission No:.. SyaI�.J i��'utt t'�u '
Co mission No. (S _
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Kev. 5/6/ZU