HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
P'1L"T'WM117' PAW�
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Res
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 CBDG Funding
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION: —
Address: 2695 S Brocksmith Road
Property Tax ID #:2320-501-0033-000-7
Site Plan Name:
SEP 2 7 2021
Lot No.
Block No.
Project Name: Schulz Residence
DETAILED DESCRIPTION OF WORK
Add 4x4 Supports/Braces To Main Structural 4x4 Uprights At Exterior Railing, 2nd Story Deck
L-J 1 k\" � C L .J I/J 00 A ra � \ i -,-,
New Electrical Meter Second Electrical Meter (Affidavit required)
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: _
Cost of Construction: $ 2400
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
OWNERAESSEE: ,
CONTRACTOR:
Name Shirley Schulz
Name: Devin Wheaton
Company: Treasure Coast General Contractors, LLC
Address: 2695 S Brocksmith Road
City: Ft. Pierce State: FL
Zip Code: 34945 Fax:
Phone No. E-
Address: 1720 Copenhaver Road
City: __Ft. Pierce State: FL
Zip Code: 34945 Fax:
Phone No
Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail treasurecoastgc@gmail.com
State or County License CGC1526542
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 Applica
Name: _
Address:
City:
Zip:
Phone
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone: _
State:
Not Applicable
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY:
Name: _
Address:
City:
Zip:
Phone:
Not Applicable
State:
_Not Applicable
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 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 Iendw-of an attorney,DVfore commencing work or recording your Notice of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF
Sworn t r affir ed) nd su scribed before me of Physical Presence or Online Notarization
r
this2� ayof 2021 by
Name of person making statement.
Personally Known OR Produced Identification' "
Type of Identification Produced oZ�
mas!4�
(Signature of No/t�ar Publliic- State of Florida)
G� o 7-) 2aal) Notary PublioState o}Florida
Commission No
Colleen Sue Hayes
�#To'�
My Commission GG 287729
Expires 03115/2023
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
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DATE
RECEIVED
DATE
COMPLETED
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Rev 5/20/21