HomeMy WebLinkAboutBUILDING PERMIT APPLICATION All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
021 u� LLa�UL[e
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c Buildillig Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 CB G Funding
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PERMIT APPLICATION FOR :
PROPOSED IMPROVEM NT LOCATION
Address: 8001 BELMONT AVE FORT PIE CE FL 34591
Property Tax ID #: 130 -604-0123-000-9 Lol, No. 28 & 29
Site Plan Name: LAKEWOOD PARK - LINT 4 Block No. 31
Project Name: MBJS BELMONT REROOF
DETAIL ED pESCRIPTION OF WORK;
REROOF % v a ff aZ- Ro (31 ��, ,? i
'J q.v < /< o ;/^ ,l
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New Electrical Meter . Second Electrical Meter (Affidavit required)
CONSTRUCTION INFORMATION
777
Additional work to be performed under this permit check all that apply:
I
_Mechanical _ Gas Tank _ Gas Pipir g _ Shutters _ Windows/Doors Pond
_ Electric _ Plumbing _ Sprinkle _ Generator Roof Pitch
Total Sq . Ft of Construction : 45 > Sq. Ft. of First Floor:
Cost of Construction: $ 1D CJ Utilities: _ Sewer _ Septic Building Heigh :: 2��-T
OWNER%LESSEE ; GONITU TOR
_ , ... .
Name Name: Brian Ben
Address: 8809 Twin I ake DE Company: BNB CONSTRUCTION INC
City: Boca Raton State: E L Address: ..53QQ NW 12TH AVE. E
Zip Code: 3R4gF; Fax: City: FORT LAUDERDALE State: FL
Phone No. 954J354000 E- Zip Code: =09 Fax: 954- 81 -78 0
Mail:transglohaitcjagmail corn Phone No 954-583-7690
Fill in fee simple Title Holder on next page (if different E-MaiL N0VIA@I3Nl3QQbISTRUQTl0 9INQ,Q0M
from the Owner listed above) State or County License CCC1329721
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
UPP14 "�, ;EWAM ON$� I IjGT1aN LIEN LAW IN Ot?MATIOi
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name : Name :
Address: Address:
City: State: City: State :
Zip : Phone 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 conflicts with any applicable Homeowners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consu t with your Homeowners 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 le r or an attornev befciPeTb`mr?iencina work or recording our Notice of Commencement.
AN
Signa ure of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF t)xo W CA Y
Sworn �(or affirmgd) n subsrribed before me of Physical Presence or _ Online Notarization
this Tay of J f C,RS 20� by
6
Name of person making statement.
Personally Known '� OR Produced Identification
Type of Identification Produced
el A
(Signature f try Public- State of Florida)
CommissionN (Seal) VMRIE J MARITON f
NOTARY PUEI'C • STATE OF FLORIDA
C01/MISSIONAGG232604
My Co€umission Expires 0711212022
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev 5/20/21
I
SUP#?I fVIENTAL,CONSTRUCTIAN:LIEN IAW [NFORMATION
, ..
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY _ Not Applicable
Name: Name :
Address: Address:
City: State : City: State :
Zip : Phone 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.
I
St, Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which conflicts with any applicable Homeowners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Homeowners 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 attorney before commencing work or recording our Notice of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF
Sworn to (or affirmed) and subscribed before me of _ Physical Presence or _ Online Notarization
this _ day of 20_ by
Name of person making statement. i
Personally Known OR Produced Identification
Type of Identification Produced
(Signature of Notary Public- State of Florida)
Commission No. (Seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev 5/20/21