HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3� Permit Number:
RECEIVED
-- wilding Permit Application
Planning and Development Services AUG 3 12021
Building and Code Regulation Division . 9t Lualll ®Gdnty
2300 Virginia Avenue, Fort Pierce FL 34982 pormi"Iiin
Phone: (772) 462-1553 Fax: (772) 462-1579 Commercial Residential X
PERMIT TYPE:
Address: "I(nni S- l i .I?an Lid.
Property Tax ID #: Lot No.
Site Plan Name: Block No.
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Additional work to be performed under this permit -check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters Windows/QgDLs_,
_ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: (OT S
Cost of Construction: $ 76-<i:2 jI + Utilities:
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City: Je,13 51041 I (` h . State:
Zip Code:. Fax:
Phone No. - -
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
q. Ft. of First Floor:
_ Sewer _ Septic Building Height:
Name: JAMES D. DAVIS
Company:J&G CARPENTRY, INC.
Address:13461 79TH CT. N.
City: WEST PALM BEACH State: FL
Zip Code: 33412 Fax: 561-855-4054
Phone No 561-855-4052
E-Mail
State or County License CGCO22831
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
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Address:
City: State:
City: State:BONDING
Zip: Phone
Zip: Phone:
COMPANY: Not Applicable
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 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 YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED. AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.-
Signatur of Owner/ Lessr e/C ,actor as Agent fdtOwner
Sig re of-Contractor/License Holder
STATE OF FLORID
STATE OF FLORIDA
COUNTY OF 11 "� �� In
COUNTY OF PAuw BEACH
The forgoing instrument was acknowledged before me
this 15 day
The f going instr ent was acknowledged before me
of 20�by
this O day of 20,24 by
JAMES D. DAVIS
Name of person making s ement.
Name of person making statement.
Personally Known OR Produced Identification
Personally Known x OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
Nu"R4., r JOSEPH D. GROSSO, JR.
o�v
MY COMMISSION # GG 350505
(Signatt ofNo _. ` ofF
.,,'oP��o,c '6cnd j,cJ�i"4a PublicUndetwriters
(Signs re of Not - Public-S `Csfifcorida) ANGELAYOUNG
_ ' •` Commission # GG 968864
Commission No. Sea
Commission No. * (% i@J;sApril12,2024
OFF 9lF o�\oQ Bonded ThcuBudget Notary Services
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
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