HomeMy WebLinkAboutapplicationAll APPLICABLE INFO MUST BE COMPLETED FOR AP.PlItA?tON TO BE ACCEPTED
Date:
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Permlit Number:
Building Permit Application
Commercial Residential
PERMIT TYPE: 1 rid d
Address: rJ❑ iL 1Gt] r DI fbft p tom , PU
Property Tax ID #: J? L - Q 2-7-b - DOD - Z
Lot No.�
Site Plan Name: N
Block Na.
Project Name:
�0 � �e..ec.. I� 1N i n d� ►!�[ 5 i �I
indo�N `lam - Z- C) Sli
0 (� r S s f� (- W l it, , CV
Additional work to be performed under this permit- check all that apply:
_Mechanical _ Gas Tank _ Gas Piping Z Shutter;
_ Electric _ Plumbing _ Sprinklers _ Generator
Total Sq. Ft of Construction:
Cost of Construction: $ 1000
Sq. Ft. of First Floor:
Utilities: _ Sewer _ Septic
vV `? rV�•vV
-1�_ Windows/Doors
_ Roof Pitch
Building Height:
Nam '0rl My r{z�— Narrie: Gary Whigham
Address.- � AddreCo❑ (, r DKi 4 p.. Company: South Florida Aluminum Products
City: 1 State: FL Address: 4807 S US HIGHWAY 1
Zip Code: Fax: > - City. Fort Pierce State: FL
Phone No. Zip Code: 34982 Fax: 772-466-1074
E-Mail: Q�] ii1ry1 Phone No 772-466-0913
Fill in fee simple Title Holder on next page ( if different E-Mail sfapbooks@soflalum.com
from the Owner listed above) State or County License
value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
value of HVAC is $7,S00 or more, a RECORDED Notice of Commencement is required.
W I%A k
d®il �N1� 4" Facric
SUPPLEMENTAL CON- STRUCTIQN LIEN i�AW VflRMATION:
DESIGNER/ENGINEER: Not ApplicaUle'' MORTGAGE COMPANY:
Name- Name:
Address: 3 d r t m. Z a Address:
City: --Tat' + State- Fj�, City:
Zip: 33inOii1i Phone 1 Zip: Phone:
f
FEE SIMPLE TITLE HOLDER: X Not Applicable
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY:
dame:
Address:
City:
Zip: Phone:
x Not Applicable
State:
X Not Applicable
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
certify that no work or installation has commenced prior to the issuance of a permit.
whichis iCnc onfli[ makes anY representation
Home Oat wnerstAsssocati n rules ll bylaws or and covenants lholder to
mayrestrict or proi-structure uh
structure. Please consult with your Home Owners Assoc iatian and review your deed far 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,
accessary 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 BTALN FINANCING, CONSULT
WITO [iER OR AN ATTORNEY BEFORE RECORDING YOU T F COMMF]YCEMEN7 "
as Agent for Owner
STATE OF FLORIDA
COUNTY OF-. LUCIE
The for ing instr entwas acknowledged before me
this day of 20.-2-1 by
ZiI9R4 a-Rmor srMcense Holder
I STATE OF FLORIDA
COUNTY OF ST. LUCIE
The forgoing instru ent was acknowledged before me
this I day of 44,20,2_L by
GARY WHIGHAM GARY WHIGHAM
Name of person making statement. Name of person making statement.
Personally Known X OR Produced Identification
Type of Identification
Produced
(Signature of N
Notary Put ft State of Florida
Commission No, Emily N Hicks(Seall
HN 037541
ww Expres0813012024
REVIEWS FRONT ZONING SUPERVISOR
COUNTER REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Personally Known X OR Produced Identification
Type of Identification
Produced
(Signature of
r'N NoWV Public 814l. of Klar,cra
Commission N Emay N Hutt {seal)
ar R E'er INN
097441
PLANS J VEGETATION SEA TURTLE
LE I MANGROVE
REVIEW
REVIEW I REVIEW