HomeMy WebLinkAboutapplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APRUCA77ON TO BE ACCEPTED
Date:
Permit Number:
DUNTY
L ® R I r.
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce F134982
Phone: (772) 462-1553 Fax: (772) 462-1578
Address:
Building Permit Application
Commercial Residential
Property Tax ID #: 3No Z - (00 L - Q 227- - 0 0 0 - 3 Lot No. Ev
Site Plan Name: _ Block No. _1
Project Name:
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters
_ Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 0
_ Generator
Sq. Ft. of First Floor:
Windows/Doors
Roof Pitch
Utilities: _ Sewer _ Septic Building Height:
Name
Address: n y, jr v t
City: State:
Zip Code: Z Fax: 0\J'r
Phone No.
E-Mail: Whr
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: Gary Whigham
Company: South Florida Aluminum Products
Address: 4807 S US HIGHWAY 1
City: Fort Pierce State: FL
Zip Code: 34982 Fax: 772-466-1074
Phone No 772-466-0913
E-Mail sfapbooks@soflalum.com
State or County License
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.
SUPPLEMENTAL CONSTRICTION LIEN I AW xNPORMATION:•
DESIGNER/ENGINEER:( Not Applicable'
Name: [x
Address: S&oI to i el t StI� Aga
City: State: �F
Zip: _?_;1aQ — _ Phone
Via —
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:_
Address:
City:
Zip:
Phone:
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
x Not Applicable
State:
BONDING COMPANY: X Not Applicable
Name:_
Address:
City:,
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 YOUNQTG-.OBTAIN FINANCING, CONSULT
WITH R HIPER OR AN ATTORNEY BEFORE RECORDING YOUR NOT -6F COMMENCEMENT."
J
V �1
4 i
Signature ner Lessee/Contractor as Agent for Owner
L�
STATE OF FLORIDA
COUNTY OF ST. LUCIE
The for Ing instru ent was acknowledged before me
this?0aay of 20 r� by
GARY WHIGHAM
Name of person making statement.
Personally Known X OR Produced Identification
Type of Identification
Produced
(Signature of
,rF• Nolary Public State of Florida
Commission No. Emily N Hicks(5eal
ma's S HH 017541
A, F E xpues 0H)30I2024
REVIEWS FRONT j ZONING
COUNTER I REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 277719--
nse Holder
STATE OF FLORIDA
COUNTY OF ST LUCIE
The forgoing instrument was acknowledged before me
this �"�day of 20 ZI by
GARY WHIGHAM
Name of person making statement.
Personally Known X OR Produced Identification
Type of Identification
Produced
(Signature of
�,►• .y +salary Pub)rc Salta of F1arsda
Commission N r=rrio N Hfckil (Seal)
III= HW 037541
o� n E-pireI 0&3012024
SUPERVISOR ! PLANS I VEGETATION SEA TURTLE MANGROVE
REVIEW I REVIEW REVIEW REVIEW I REVIEW
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