HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 44(—DI—) Permit Number:loS `0 ��
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT TYPE: Carport Remodel
'PROPOSED IMPROUEIVIENT LOCATION:
Address: 36 Aqua RA Drive, Jensen Beach FL 34957
Property Tax ID #. 4511-811-005-100-7 Lot No. 4
Site Plan Name: Windmill Village by the Sea Block No. A
Project Name: Erwin Carport Remodel
..DETAILED DESCRIPTION OFWORK
Rebuild carport
Roofing is not included in this scope of work. Owner has hired a roofing contractor to re roof entire house ,
'CONSTRUCTION INFORMATION:''
Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors
_ Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 15000.00
_ Generator _ Roof 6 Pitch
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
=OVIJNE'R/LESSEE
CONTRACTOR {
Name Richard and Sharon Erwin
Name: Kevin Firestone
Company: Firestone Construction Inc
Address: 36 Aqua RA Drive
City: Jensen Beach State: _
Address: 2183 S Brocksmith Rd
Zip Code: 34957 Fax:
City: Fort Pierce State: FL
Phone No. 772-408-7630
Zip Code: 34945 Fax:
E-Mail:
Phone No 772-216-9379
Fill in fee simple Title Holder on next page ( if different
E-Mail firestoneconst@gmail.com
from the Owner listed above)
State or County License CGC1510180
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
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DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _
Not Applicable
Name: Paul Welch Inc
Name: N/A
Ad d ress: 1984 SW Biltmore ST Suite #114
Address:
City: Port St Lucie State: FL
City:
State:
Zip: 34984 Phone 772-785-9888
Zip: Phone:
FEE SIMPLE TITLE HOLDER: 14b Not Applicable
BONDING COMPANY: y
Not Applicable
Name: N/A
Name: N/A
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 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 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 YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION IF YOU 1 ND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER JM AN ATTORNEY BEFORE RECORDING!YOUR NO IC Of COMMENCEMENT. -
pm
ture ner/ Lessee/Contractor as Agent for Owner
ig ure of Contractor/License Holder
STATE OF FLORIDA� , ")
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STATE OF FLO OA
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The forgoing instrume t s acknowledged before me
this PC day of 20'!, by
The for oing instrument was acknowledged before me
this day of 20 t(I by
Cl &Kwp.��90,.,UI
Nam4 of person makin statement.
Name of person making statement.
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identifi ion
Type of Identification
Pro
Prod ed
VID E. STOVER11
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(Signature of Notary Public- Sta
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Rev. 2/7/19