HomeMy WebLinkAboutPermit Executed SladeAll APPLICABLE INFO MUST BE COMPLFTED FOR APPLICATION TO BE ACCEPTED
Date: 8/6/21 Permit Number:
Building Permit Application
Planning and Development Services
Building and code Regulation Division C0mmerdlal
2300 Virginicl Avenue, Forl: Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Residential Yes
PERMIT APPLICATloN FOR: jAMEs HARDiE s|D|NG & TRIM -8 WINDOWS CUPOLA
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Address: 4856 N RIVER PLACE FORTPIERCE FL34982
Property Tax lD #:
Site Plan Name:
Project Name:
3403-502-0081 -000-8
S LADE-S I DI NG-CU POLA WI N DOWS
Lot No.1
Block No.
INSTALL JAMES HARDIE SIDING & TRIM ALL STRUCTURES-REPLACE 8 WINDOWS CUPOLA
New Electrical Meter Second Electrical Meter (Affidavit required)
Additional work to be performed under this permit -check all that apply:
Mechanical GasTank Gas piping Shutters L£Windows/Doors Pond
Electric Plumbing _ Sprinklers Generator Roof
Total Sq. Ft cif Construction:
Cost of Construction: S 48,501
Sq. Ft. of First Floor:
Pitch
Utilities: _Sewer _Septic Building Height:
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NamesHAD MULLINS SLADE 11 Name:M.ICHAEL G HOLEMAN
Address: 150 S BATES RD Company: HOLEMAN INC
city: TAYLORS State: SC Address: 212 N US H\/VY 1 #17
Zip code: 29687 Fax:city: TEQUESTA state: FL
Phone No.772 224 9696 zip code: 33469 Fax:
E-Mail:ONEJuSTUS76@GMAIL.COM Phone No 561 743 0687
Fill in fee simple Title Holder on next page ( if different E-Mail PERMITS@HOLEMANINC.COM
from the Owner listed above)State or County License CBC1250217
lf 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.
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DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name:Name:
Address:Address:
City: State :City: State: -
Zip, Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable
Name:Name:
Address:Address:
Cit.Cit.
Zip: Phone:Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indl.cated.
I certify that no work or installation has commenced prior to the issuance of a permit.
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ln 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 bui ding 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-resi.dentjal use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may resu t in paying twice for
improvements to your property. A Notice of Commencement must be recorded in the pub ic records of St.
Lucie County and posted on the jobsite before the f irst inspec tion. If you intend to obtain fin ancing, consu
with lender or an attorney before commencing work or recording your Notice of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA L|Oe,i` iDACOuNTY0F
ihY§:E±§j]°aryaofffjrT5d(!5;n+Subscrjbedf8|feFyeof _Physical presenceor online Notarization
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::I:nma:sus::n°fN:°tary pub"C-State °fF'°rl(dsae:,) v / /
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TU RTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATERECEIVED
DATECOMPLETED
eN5/2!D/21
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