HomeMy WebLinkAboutBUILDING PERMIT APPLICATION 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 Code Regulation!Division Commercial Residential
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 CBDG Funding
PERMIT APRUCATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address:
Property Tax ID#: 1 Jv(:to mac—( —bl��� —�. Lot No.
Site Plan Name: Block No. 0 9-
Project Name:
DETAILED DESCRIPTION OF WORK:
qFn Bedroom ,3
i
Bath
Garage
1New Electrical Meter Second Electrical Meter (Affidavit required)
CONSTRUCTION INFORMATION:
lAdditional work to be performed under this permit—c
heck all that apply:
XMechanical _Gas Tank _Gas Piping (Shutters _Windows/Doors _Pond
-XElectric Plumbing l , (Sprinklers _Generator _X Roof Pitch
(Total Sq. Ft of Construction:. Sq. Ft. of First Floor:
(Cost of Construction:$ �, `i;u� Utilities: —Sewer _(Septic Building Height:
:OWNER/LESSEE: CONTRACTOR:
Name Focus Homes. LLC of Florida Name: Mark Richard
Address:1686 W Hibiscus Blvd company:Focus Homes, LLC of Florida LJ
city: Melbourne State: FL Address: 1686 W. Hibiscus Blvd
Zip code: 32901 Fax: city: Melbourne State: FL.
Phone No.321-72�5-5645X,�70�3 E- zip code: 39901 Fax:
'Mail:Weitzr cY,maronda rom Phone No 321-725-5645
Fill in fee simple Title Holder on next page(if different E-MailWeltZr@Mawnd@ COm
from the Owner listed above) State or County License CBC1255394
If value of construction is 2500 or more,a RECORDED Notice of Commencement is required. 1
If value of HAVC is$7,500 or more,a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: FDS Engineering and Associates Name:
Address: 258 Southhall Lane Suite 200 Address:
city: Maitland State:FL— city: State:
Zip: 37751 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.
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
11 n 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,
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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 of wner/Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF Brevard
Sworn to(or affirmed) d subscribed before me of Physical Presence or Online Notarization
this day of (15215 20 a!by
Name of person making statement.
;;s�?g'•, REBECCAWEITZ
Personally Known XX OR.Produced Identification =?°' MY COMMISSION#HH020345
Type of Identification Produced
"q 'off: EXPIRES:March 16,2026
'FodF4°` Bonded Thru Notary Public underwrllers
1
(Signature Notary P ' -State of Florida)
i Commission No. (Seal)
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
i DATE
RECEIVED
DATE.
COMPLETED
ev 5/20/21
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