HomeMy WebLinkAboutBuilding Permit ApplicationIT -
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: iQ,• V
Oaw
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Front Door
PROPOS.ED.IMPROVEMENT LOCATION:
Residential X
Address: 2439 Dyer Road
Property Tax I D #: 3414.501.1407 Lot No. 7
Site Plan Name: St Lucie Gardens 253640BLK2 N 165ftof S49517tof E330FTLot7(1.25a0 Block No. 2
Project Name:
)ETAILED._Q.ESCR'IPTIO.N. OF WORK:
Replace Front Door ,,,, L <-J .1 Vd10 V,/
—1000 .S-1
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: $ W/ Utilities: _ Sewer _ Septic Building Height:
OWNER/LESSEE:.
CONTRACTOR: .
Name A New Marr Development Concepts-
Address: 3311 SW Savona Blvd
City: Port St Lucie State: FI
Zip Code: 34953 Fax:
Phone No. 772.528.0961
Name: Juan Marrero
Company: Marr Builders Inc
Address: 3311 SW Savona Blvd
City: Port St Lucie State: FI
Zip Code: 34953 Fax:
Phone No 772.528.0961
E-Mail: anewmarrdev@yahoo.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail. marrb.uilders@yahoo.com
State or County License RR282811.8171 #31921
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: X Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable
BONDING COMPANY: X 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 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 attornev before commencing work or recording vour Notice of Commencement.
Sig atur of Contrac r/License Holder
gnat Ire of Owner/Lessee/Contractor as Agent for Owner
S ATE OF FLCRIJA
S OF FLORIDA
COUNTY OF
COUNTY OF St Lucie
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
x Physical Presence or Online Notarization
x Physical Presence or Online Notarization
this 29 day of June 2020 by
this 29 day of June 2020 by
Juan Marrero
Juan Marrero
Name of person making statement.
Name of person making statement.
Personally Known x OR Produced Identification
Personally Known x OR Produced Identification
Type of Identification
Type of Identification
Produc
Produced
OF
r ""rep •.,. MARLENE RUBIO HA RTMAN
:..^"y'P�•.,, MARLENE RUBIO HARTMAN
( ig ture of Notary Publi 7l
omission # GG 261489
Si nature of Notary Public o�p�a� c state o 0 MO
( g y "C"0 mission # GG 261489
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of R5,My Comm. Expires 'Sep 23, 2022
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''a of �' My Comm, Expires Sep 23, 2022
Commission No. GG2614 ""'Bonded(RWjj Nation INotaryAssn..Commission
No. GG2614 9 "" ""gonded00�ationalNotaryAssn.
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 5/6/20