HomeMy WebLinkAboutBuilding Permit App - Pine Tree All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue,Fart Pierce FL 34992
Phone:(772)462-1553 Fax:(772)462-1578
PERMIT APPLICATION FOR:
Address: 5519 PINE TREE DR FORT PIERCE FL 34982
Property Tax ID N: 3402 602 0260 000 1 Lot No.43-44
Site Plan Name: Block No. 7
Project Name: MEAD'S RESIDENCE
DETAILED DESCRIPTION OF
CHANGE OUT FRONT DOOR-NO SIZE CHANGE
New Electrical Meter Second Electrical Meter
CONSTRU' o
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:$ 3.551.50 Utilities: -Sewer —Septic Building Height:
Name GERARDMEAD Name:JAMES D.DAVIS
Address: 5519 PINE TREE DR Company: J&G CARPENTRY INC
City: FORT PIERCE State:f L' Address:13461 79TH CT N
Zip Code: 34982 Fax: City: WEST PALM BEACH State:FL
Phone No.5612819615 Zip Code: 33412 Fax:
E-Mail: Phone No�61-855-4052
Fill in fee simple Title Holder on next page(if different E-Mall
from the Owner listed above) State or County License CGC 022831
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 C -
DESIGNER/ENGINEER: x 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 Count(yy 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 1 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 concurrenry 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 attorney before commencing work or recording our Notice of Commencement.
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Signature of Owner/Lessee/Contractor as Agent for Owner Signature tractor/License Holder
STATE OF FLORID STATE OF FLORIDA
COUNTYOF M. WCV 1P- COUNTY OF PA I BeCCL-.
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