HomeMy WebLinkAboutBuilding Permit App - Pensacola Rd All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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Building Permit Application
Planning and Development Services
Building and Cade Regulation Division Commercial Residential X
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT
Address: 4605 PENSACOLA RD FORT PIERCE FL 34951
Property Tax ID N: 1301 606 0228 000 1 Lot No. 28 -30
Site Plan Name: Block No. 67
Project Name: SCHNEIDER'S RESIDENCE
DETAILED DE WORK: l
CHANGE OUT FRONT DOOR - NO SIZE CHANGE
New Electrical Meter Second Electrical Meter
CONSTRUCTION W ION `'I
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: Sq. Ft. of First Floor:
Cost of Construction:$ 3.180.75 Utilities: _Sewer Septic Building Height:
Name LORALYNNE B.SCHNEIDER Name:JAMES D.DAVIS
Address: 4605 PENSACOLA RD Company: 3&G CARPENTRY INC
City: FORT PIERCE State:_ Address:13461 79TH CT N
Zip Code: 34951 Fax: City: WEST PALM BEACH State:FL
Phone No,443 825 9155 Zip Code: 33412 Fax:
E-Mail: Phone No 561-8.55'4052
RII in fee simple Title Holder on next page(if different E-Mail�.x�2,+�. eb r al
from the Owner listed above) State or County License GC 02 31
H value of construction Is 2500 or more,a RECORDED Notice of Commencement is required.
H value of HAVC is$7,500 or more,a RECORDED Notice of Commencement Is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW IN10.
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: Name:
Address: Address:
City: State:_ City: State:_
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: x 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 antl 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 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 attorney before commencing work or recording our Notice of Commencement.
21
Signature 6f Owner Lessee/ConVaRor as Agent far Owner Signature of Co r ctor/License Holder
STATE OF FLORIDA STATE OF FLOR
COUNTY OF;Z z7�ihn �i VCi COUNTYOF -toQi,G�
17 swo n to(or affirmed)and subscribed before me of S7m to(or affirmed)and subscribed before me of
Physical Presence or Online Notarization Physical Presence or Online Notarization
this 12�day of///n li0_ibe .2020 by this 10 day of 2024by
L-n✓a 1;/nrr� 'D Scl-,ne��le.� .SFlM�S h C� V,s
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification Personally Known a/OR Produced Identification
Type of Ider�ificati Type of Identification
Produced 4-/ _ Produced
(Signature of Notary Pudic-state of Flan Si not of Notary Puhli State of Florida)
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COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
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FLORIDA JURAT
FS 11705(13) —Effective January 1, 2020
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State of Florida
County of PAI M BFACH
Sworn to(or affirmed)and subscribed before me by
means of
M Physical Presence,
—OR—
❑Online Notarization,
this 10 dsyoflJOU—C.A� — aoa( by
Day Month year
JAMES Q. DAVIS
Name of Person Swearing or Affirming
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Name of Notary Typed,Printed of Stomped
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CommissionN GG 9E8664 X Personally Known
or Ba Eexpns%AApi1 12.26 ❑Produced Identification
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Type of Identification Produced:
Place Notary Seat Stamp Above
OPTIONAL
Completing this information can deter alteration of the document or
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02019 National Notary Association