HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE CRPPLETED FOR APPLICATION TO BE ACCEPTED n
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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 i
PERMIT APPLICATION FOR:New Construction- Single Family Residence
PROPOSED IMPROVEMENT LOCATION.-
Address: //7 7d MYV5 Pik gt6t
Property Tax ID#: 0353-e - UV —7 Lot No.
Site Plan Name: WJH! FL LLC -Wade Jurney Homes Block No.
Project Name: Lakewood Park
' DETAILED DESCRIPTION OF WORK:
New Construction- Single Family Residence
L4 b cot
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New Electrical Meter Second Electrical Meter ( idavit required)
CONSTRUCTION INFORMATION': "
Additional work to be performed under this permit-check all that apply:
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_Mechanical Gas Tank _Gas Piping _Shutters Windows/Doors _Pond
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N/lectric lumbing _Sprinklers _Generator Roof Pitch '
Total Sq. Ft of Construction: 29 Sq. Ft.of First Xfoor' ��-i Cost of Construction:$ ��J Od Utilities: _Sewertic Building Height:
OWNERAESSEE: CONTRACTOR:
1 . ,
II Name WJH FL LLC- Morey Doyle Name: Morey nnylP
Address: 3091 Governors Lake Dr Suite 300 Company: WJH FL LLC-Wade Jumey Homes
City: Norcross State: GA Address: 3091 Govemors Lake Dr Suite 300
Zip Code: 30071 Fax: City: Norcross State:GA
Phone No. (321) 270-6629 Zip Code: 30071 Fax:
E-Mail: Heather.Dahlin@CenturyCommunities.com Phone No (321)270-6629
Fill in fee simple Title,Holder on next page(if different E-Mail Heather.Dahlin@CenturyCommtinities'com
from the Owner listed above) State or County License cs;['15174:5R
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.
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SUPPLEMENTAL CONSTRUCTION LIEN-LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: FDS Engineering Associates Name:
Address: 258 Southhall Lane, Suite 200 Address:
City: M[ tland State: FL City: State:
Zip: 32751 Phone(321)972-0491 Zip: Phone:
FEE SIMPLE TITLE HOLDER: 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 is in conflict with any applicable Home Owners Association rules,bylaws or and covenants that may restrict or prohibit such
structure.Please consult with your Home Owners 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.
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Signature of Owner/Le a/Contractor as Agent for Owner
STATE OF FLORIDA A�� �
COUNTY OF
Sworn,tp(or affirmed)and subscribed before me of Physical Presence or Online Notarization
this_�L_day of 202;L by
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Name of pers 'aking ate nt.
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Personally Known OR Produced Identification
Type of Identification Produced
(Signature of Notary Public-State o "F of r—)
1►►r' Notary Public State of Florida
I Commission l�i��1a/ � l� (Seal) ' Heather C
Dahn
Commission HH 029010
WIV Expires 08l05I2024
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW i REVIEWJ
DATE I
RECEIVED
DATE
CO 5/20/21
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