HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST-BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: 2_kk2.' 0100�
WMIE4
Building 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 CBDG Funding
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address:
Property TaxlD#: I-3a1- 'y
� 00LJ_f)UbV-UD0—&' Lot No. I%# _
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
SFD 3
Bedroom i"
I�
Bath
Garage
New Electrical Meter Second Electrical Meter (Affidavit required)
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all that apply:
X Mechanical _Gas Tank —Gas Piping Shutters _x Windows/Doors _Pond
_XElectric x Plumbing GG Sprinklers _Generator — Roof Pitch
Total Sq. Ft of Construction: j O Sq. Ft. of First Floor: �y 6
—� ,, c;LJ
Cost of Construction:$ * / I, LJ` ff 0 ' Utilities: _Sewer _(Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Focus Homes. LLC of Florida Name: Mark Richard
Address: 16€6W Hibiscus Blvd Company:Focus Homes; LLC`of Florida
city: Melbourne State: FL Address: 1686 W. Hibiscus Blvd
Zip Code: 32901 Fax: city: Melbourne State: FL
Phone No.321-7255645X3703 E- Zip Code: 329.61 Fax:`
Mail: Weitzr c)maronda com Phone No 321-725-5645
Fill in fee simple Title Holder on next page(if different E-MailVVeltZr L�7 MarOrlda coo
from the Owner listed above) State or County License CBC 1.255394
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: -X Not Applicable
Name: FDS Engineerinq and Associates Name:
Address: 258 Southhall Lane Suite 200 Address:
city: Maitland State: R City: State:
Zip: 32751 Phone 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 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.
Signature 6f Owner/Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF Brevard
Sworn 13(or affirmed)a subscribed before me of Physical Presence or Online Notarization
this day of �t70 20&by
Name of person making statement.
Personally Known X_OR Produced Identification
'Type of Identification Produced
(Signature Notary P 1c-State of Florid
.•;PaYF��•• REBECCAWEITZ
Commission No. (Seal) MY COMMISSION#HH080345
EXPIRES:March 16,2025
oFc4 Bonded Thru Notary Public Underwriters i
I
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER ' REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW'
DATE
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