HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ((��_,�
Date: 21 D Permit Number: I O V�J
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-17
SEP 10 2021
° Building Permit Application
Planning and Development Services St Lucie County
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Commercial
CBDG Funding
Permitting
Residential x
PERMIT APPLICATION FOR: Demolition and Rebuild Front Exterior Deck Beam
P,,ROPOSED (MPROVEM,ENT;LOCATION...
Address:
Property Tax ID #: 3401-344- 02-010-4 Lot No. 2 & 3
Site Plan Name: Edmonds Residence Block No.
Project Name: Edmonds Exterior Deck Alteration
DETAILED "D.ESCkIP,TION'..OF, WORK':
New Electrical Meter N/A Second Electrical Meter NIA (Affidavit required)
CONSTRUCTION, INFORMATION
Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank —Gas Piping _ Shutters _ Winnddows/Doors _ Pond
_ Electric _ Plumbing _ Sprinklers _ Generator f' Roof Pitch
Total Sq. Ft of Construction: 264 Sq. Ft. of First Floor: 1328
Cost of Construction: $ 13,522.00 Utilities: —Sewer —Septic Building Height: Two Story
DWNERjLESSEE.
CONTRACTOR::. .
NameStephen and Cathy Edmonds (TR)
Name: Richard A. Adams III
Company: RA Construction Corp of the Treasure Coast
Address: 560 Kings Road
City: _Franklin State: Ua
Address: 850 N. Federal Hwy., Ste. 226
Zip Code: 28734 Fax:
City: Stuart State: FL
Phone No. �ZS 3� 2-� `fi(e(� E-
Zip Code: 34994 Fax: 772-446-4514
Phone No 772-446 4576 '72A ' 9&0-- W 1
E-Mail AdminAssist@HomesbyAburton.com
Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
State or County License CGC1520713
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 LNFORMATION
DESIGNER/ENGINEER: x Not Applicable
Name: _
Address:
City:
Zip:
Phon
State:
FEE SIMPLE TITLE HOLDER: X Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY:
Name:
Address:
Citv:
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 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 att4 i)Iev before commencing; work or recording vour Notice of Commencement.
r J
Signature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORID - _
COUNTY OF �� A iZT/ A_-J a _u C%F
Sworn to (or affir ed) a d sub cribed before me of Physical Presence or Online Notarization "
this `h day of 20AJ by -
ci��92� 7X:
Name of person making statement.
%OR
Personally Known Produced Identification
Type of dentification Produced
(Signature of Notary ub Ic- State of Florida)
��ya "�`''• CHERYL A. FINK
Commission No. oC 16 (Seal)
Notary Public •State of Florida
Commissio!�0 M Comm. Expires s May 13, 2022
Y P Y
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev 5/20/21