HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: V 'luu Permit Number:
Building pp 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
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: 2407 SAINT LUCIE BLVD, FORT PIERCE, FL 34946
Property Tax ID #: 1428-702-0936-000-2
Site Plan Name:
Project Name: 2407 SAINT LUCIE BLVD
Lot No.
Block No.
I DETAILED DESCRIPTION OF WORK: I
New Electrical Meter Second Electrical Meter
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: C) Sq. Ft. of First Floor: 1 0 (
Cost of Construction: $ CA IX Utilities: _ Sewer Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Robert Ferber
Name: Paul Judson
Address: 2407 SAINT LUCIE BLVD
Company: Stonewater Inc
City: Fort Pierce State: _
Zip Code: 34946 Fax:
Phone No. 772-696-2507
Address.407 Central Park Drive, Ste. 411
City: Sanford State: FL
Zip Code: 32771 Fax:
Phone No 816-739-2483
E-Mail: f4headboy@yahoo.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail rebecca.armstrong@stonewaterinc.com
State or County License CRC1332722
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 Applicable
MORTGAGE COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLEHOLDER: 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 is in conflict with any applicable Home Owners Association rules, bylaws or and that
covenants 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 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 attorneVVeforp,,ommencinR work or recording our Notice of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature Con actor/License Holder
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Name of person making statement.
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Personally Known �� OR Produced Identification
Type of IdenY iyation
Type of Identification
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FRONT
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SUPERVISOR
PLANS
VEGETATION
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MANGROVE
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DATE
RECEIVED
DATE
COMPLETED
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