HomeMy WebLinkAboutAPPAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Permit Number:
Date
Building Permit Application
Planning and Development Semites
suilding and Code Regulation Division CommercialResidential
23300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462_1553 Fax: (772) 462-1578
PERMIT APPLICA I IUN rvrc:
Address: 8740 SALLY BUINON RD PORT ST LUCIE FL 34986
Property Tax ID a: 3334 Site Plan Name:
CHANGE OUT ( I ) EXTERIOR OOOR- NU bUt s.rvevue
Lot No. 47
Block No.
New Electrical Meter _-__ e�or,:. __.
Sri'. Meter
EWWRIU ION INFORMATION:
Additional work to be performed under this permit —check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters ✓Windows/Doom _Pond
Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor: _
Cost of Construction: $ 3,324-03 Utilities: _ Sewer _ Septic
City: --W
Zip Code:
Phone No
Fill In fee simple Title Holder on neat page (If different
from the Owner listed above)
Building Height:
Company: J&G CARPENTRY INC
Address. f 3461 79TH CT N
City: WEST PALM BEACH State: FL
Zip Code. 33412 Fax:
Phone No 561-855-4052
E-Mail.1[Y�ard:�. ��Li'f>1�upfi r ory
State or County License CGC 022831
If value of construction is 2500 or man, a REwwtu nonce es a+m..R,�.,.,�.,. �,r•
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
Aare...
City: _ State:
Zip; Phone_
SIMPLETITLE HOLDER: z Not
COMPANY: x
Name:
Address:
City: State:
7ip; Phone:
BONDING COMPANY: x Not
City: Zip:
Zip; Phone:
OWNER/ CONTRACTOR AFFIOVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
1 certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie CountttyyI makes no representation that is granting a Permit will authorize the ermit holder to build the subject structure
structure. Pleaseict with any wmult with your Home Owners Association and review your deed for any mstrlctioniwhich maor
applly. such
inconsideration 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
ric r recordin our Notice of Commencement.
commencen wo
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STATE OF FLORIDA
STATE OF FLORIO�
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COUNTY OF 13LL11 lvl
Sw n to (or affirmed) and subscribed before me of
Presen a or Online Notarization
swop to (or affirmed) and subscribed before me of
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DATE
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FLORIDA JURAT
FS 117,O5(13) — Effective January 1, 2020
State of Florida
County of PALM RFAC'H
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ExpiresA0112,2024
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Sworn to (or affirmed) and subscribed before me by
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❑ Online Notarization,
this i l_dayof t7[i . 2021 ,by
Day Month year
J8MES D DAVIS
�jName of Person Swearing orAfllrming
Sr2nature of Notary Pubft' State of Mcvfdo
Nome of Notory Typed, Printed or Stompad
Z Personally Known
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