HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE CL... 'LETED.FOR APPLICATION TO BE ACCEPT . .
Date: 02/22/2021;. Permit Number::a�d3�d
ECEIVED -
p .MAR 0 5 2021.
Building Permit.-Appl.ication 'Permitting Deaartrh
nt
Planning and Development Seivices"St. Lucie County.
Building and Code. Regulation Diws�on . CoI11CY12I'C181 .. Residentiad:XL.
2306 Virginia Avenue, FortPierce FL 34982
Phone (772) 462-1553 •Fax: (772) 462-1578.
PERMIT APPLICATION FOR: ;
PROPOSED IMPROVEMENT LOCATION:
Address:. 601 RioVista'Dr. Fort'Pierce,.FL34982
Property Tax ID #: 24267123-0005-000/7 Lot No: 1
Site Plan Name: Bathroom lj 1. •-Qil .. Ak) �(c; Block No. 26
Addis lumbin
Project Name:.Adding P g and Bathroom in woodshop : -
DETAILED DESCRIPTION OF WORK:
.Adding plumbing and a Bathroom in an existing woodshop
Adding a full bathroom with: shower, Water Heater, •plumbing and light electric:into.a woodshop
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: $ ..$4510.00 Utilities: - Sewer Septic Building Height:..
OWNER/LESSEE:.
CONTRACTOR:
Name Gaspard Dale AS .
Name:
Address: 601 Rio Vista: Dr..
Company:
City: Fort Pierce State: FL
Address:
Zip Code: 34982 Fax:
City: State: .
Phone No. (913) 484-.1.545
Zip Code: Fax:.
E-Mail:.. gdalexis36@prodiigy:net.
Phone No
Fill in fee simple Title Holder on next page ( if different
E-Mail
from the Owner listed above)
State or County License
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: .
✓ Not Appliicabl.e : '
Name: 'Richard Jemison
...
-' _
Name:' :.
Address':.:' -P.O.. Box 561:6 .
.... , .
Address:
City: Fort.Pierce:
State: - FL-
City:
Stater
Zip:'. 34954- .' Phone . _
(772) 215-5623
Zip::... Phone:.
FEE SIMPLE.TITL•E HOLDER:,
✓ Not•Applicable.
BONDING COMPANY:.
✓Not Appl!cab le'
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.
Inconsideration 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- Am endments.:
The following building permit apolica.tions.ar6 exempt, 6m under going.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 Commenceme-nt.may,result in paying.twice for
improvemerits.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 firs' nspectioh' if you.intend'_to obtain financing, consult '
with lender or an attorn6v b ore comme'ncin 'work or. recoedin . Vouc Notice of Commencement.
�:4:4
ignature of Owner/ Less e/C as Agent for.Owner Signature of Contractor/License Holder
.STATE,-O.F FLORIDA STATE OF;FLORIDA : -
COUNTY.OF. ..'COUNTY OF
Sworn to (or affirmed) and;subscribed before me of Sworn to -(or affirme'd)and subscribed before me of
P�,y sical Pre''s ce or '0nline.Notarization- Physical:Presence or.- Online Notariiation.
this r ' day of . . -by.. : this. day of:.... . 2020: by-
..
{
Name:of person making sta ement.. Name of person making statement.'.
Personally Known OR Produced identification — Personally Known- .' OR:Produced Identification_
Type of:ldenti tion Type of Identification
Produced.Produced
h Gomei:
jOsaC?..:.�Gj619
(Si ure of Notar . ic- Statek..• l6.V )tjOm .No�embe1 I® .Signature of.Notary Public- State of Florida)
ComsQ..thcu
Comission No. 0nNo.o'(Seal)
REVIEWS FRONT ZONING SUPERVISOR_' PLANS:. VEGETATION SEA TURTLE MANGROVE
COUNTER. REVIEW REVIEW REVIEW : REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.