HomeMy WebLinkAboutPermit Application 3266 Lakeshore DriveAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 0811612021 Permit Number: ---------
~Lio [L t(I ~LJ ~. . »'
~~~N~'!"~·•--,_
Planning and Development Services
Building and Code Regulation Division
Building Permit Application
Commercia l Residential X -----------
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: 3266 Lakeshore Drive, Fort Pierce, FL 34949 -------------------------------------
Property Tax ID#: __ 14_2_5_-_67_6_-_0_0_10_-_0_0_0_-8 ______________ _ Lot No. ----
Site Plan Name: __________________________ _ Block No. ---
Project Name: __ M_a_st_e_r_B_a_t_h_D_oo_r _________________________ _
I DETAILED DESCRIPTION OF WORK:
Remove corner tub, change window opening to door, install Jeld-Wen door, repair all
finishes inside and out, install exterior l ight.
New Electrical Meter ____ Second Electrical Meter ______ (Affidavit required)
I CONSTRUCTION INFORMATION:
Additional work to be performed under this permit -check all that apply:
Shutters _x Windows/Doors Pond _Mechanical
X Electric
Gas Tank
.XPlumbi ng
_ Gas Piping
_ Sprinklers Generator Roof ____ Pitch
Total Sq. Ft of Construction : _______ _ Sq . Ft. of Fi rst Floor: _________ _
Cost of Const r uction:$ 19,730.00 Utilities: Sewer _ Septic Building Height: ___ _
OWN ER/LESSEE: CONTRACTOR:
Name Wesley Knepp Name: David "Harley" Van Ginhoven
Address: 3266 Lakeshore Drive Company: D C Construction & Com~any 1 Inc.
City: Fort Pierce State: FL Address: 1916 21st Ave.
Zip Code: 34949 Fax: City: Vero Beach
Phone No. {501) 4 75-8107 Zip Code: 32960 Fax:
E-Mail: scoastrider@aol.com Phone No (772) 360-8571
Fill in fee simple Title Holder on next page ( if different E-Mail barle~@ibuildwitbcan:~ □et
from the Owner listed above) State or County License CGC1507644
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.
State: FL
--
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: ML Engineering Name: -------------------Address: 2030 37th Ave Address: ------------------City: Vero Beach State: fl_ City: _____________ State: __
Zip: 32960 Phone (772) 569-1257 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 permit holder to build the subject structure
which is in contlict 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.
Luci ey C ftl nty and po~.ed on the jobsite before the first inspection. If you intend to obtain financing, consult
I\V,dth /ler der or an atidroov.,,before commencing work or recording vour Notice of Commencement.
Signatu !<"e" of ~t Ld ~//Vt(_Contractor as Agent for Owner
STATE OF F'i:o-RrDA
COUNTY OF :I'l'\O.\C\Y\ £,,vu
Sworn to (or affirmed) and subscribed before me of
this jJ_ day of AJ@vS+ , 20..aJ_ by
~Physical Presence or __ Online Notarization
Name of person making statement.
Personally Known ___ OR Produced Identification_/ __
Type of Identification Produced __ vL_~l)~L ______ _
(Signature of Notary Public-State of Florida )
Commission No.616' ·; 7>51.P 7 0 (Seal)
REVIEWS
DATE
RECEIVED
DATE
COMPLETED
Rev 5/20/21
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW