HomeMy WebLinkAboutBuilding Permit ApplicationII APPLICABLE INFO MUST BE l
Date: 10/07/2021
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LETED FOR APPLICATION TO BE ACCEPTw 3'
Permit Number: �I 0Q-0
RECEIVED
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
OCT 0 7 2020
St, Lucie County
Permlttlno
Commercial Residential X
CBDG Funding
PERMIT APPLICATION FOR: Level 3 Remodel in Two Phases
PROPOSED IMPROVEMENT.LOCATION
Address: 9309 S Indian River Dr, Fort Pierce, FL
PropertyTax ID #: 3519-4411-0002-000-1 Lot No.
Site Plan Name: Sec/Town/Range: 19/36S/41 E Block No.
Project Name: Fick residence
'DnETAILED DESCRIPTIONOF-WORK � ft e t i , _ -
Complete remodel, including reconfiguring roughly 50% of floorplan, repairs where
needed, bringing up to code, etc. Please see attached documents and plans for
additional details.
New Electrical Meter X Second Electrical Meter
CONSTRUCTION INFORMATION
(Affidavit required)
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank —Gas Piping _ Shutters X Windows/Doors _ Pond
X Electric X Plumbing _ Sprinklers
Total Sq. Ft of Construction: 3,309
Cost of Construction: $ 69,500,
_ Generator
Sq. Ft. of First Floor:
Roof Pitch
2,051
Utilities: —Sewer _Septic Building Height: 141
OWN ER/L' ESSEE :..
CONTRACTOR
,
Name Mark & Lawrence Fick
Address:13931 Amber Lane
Name: Owner/Builder
Company:
City: Montgomery State: TX
Zip Code: 77316 .Fax:
Phone No. 936-443-3403 E-
Address:
City: State:
Zip Code: Fax:
Phone No
Mail:_ farmerfick@grnail.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail
State or County License
It value of construction is Z500 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',CQNSTRUCT(ON`LtEN LAININFORMAT(ON
. ,.. ,.
st. ;,f {
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: X
Not Applicable
Name: Richard E Atwood, Architect
Name:
Address: 5212 Hickory Dr
Address:
City: Fort Pierce State: FL
City:
State:
Zip: 34982 Phone 407-304-0264
Zip: Phone:
FEE SIMPLE TITLE HOLDER: X 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 conflicts with any. applicable Homeowners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Homeowners 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 1 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 OWNE Your failure to Record a Notice of Commencement may result in paying twice for
improveme is to tour property. A Notice of Commencement must be recorded in the public records of St.
Luce Cpunt andVornev
sted 0 the jobsite before the first inspection. If you intend to obtain financing, consult
withliender r anr before commencing work or recording; vour Notice of Commencement.
�� � � � tA-
Sig"i&r IoT Owner/ Lessee/ConfYactor as Agent for Owner
STATE OF FLORIDA
COUNTY OF P� I 1 � off,
Swor to or affir (kd subscribed bef r me of Physical Presence or Online Notarization
y
this day of 21;_ by
Name of person making statement.
Personally Known OR P dy , ced dentification
Type of Iden ification7Pruced
q7't �
(Signat a of Notary Pu c- State of Flori a)
KAREN S. NIELSE
Commission No. (Seal) `� yp /�
LPN UB i
:=o State of Florida -Notary Public
_+ += Commission # GG 207484
My Commission Expires
June 12, 2022
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