HomeMy WebLinkAboutBuilding Permit ApplicationAll APPUCABV INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 2, Permit Number:
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° Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 CBDG Funding
PERMIT APPLICATION FOR: Fire Restoration & Repairs
PROPOSED IMPROVEMENT LOCATION:
Address: 2504 Tamarind Dr Fort Pierce FL 34949
Property Tax ID #: 1425-603-0005-000-4 Lot No.4
Site Plan Name: Block No. 8
Project Name: Tatiana Michalenko
DETAILED DESCRIPTION OF WORK:
Demo areas of home due to fire damage
New Electrical Meter Second Electrical
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters
_ Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ _
(Affidavit required)
_ Generator
_ Windows/Doors _ Pond
Sq. Ft. of First Floor:
Roof Pitch
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Tatiana Michalenko
Name: Share Carothers
Address: 2504 Tamarind Dr
Company: Paul Davis Restoration & Remodeling TEAM
City: Fort Pierce State: FL
Zip Code: 34949 Fax:
Phone No. 561-707-1133 E-
Address: 1950 SW Biltmore St
City: Port St Lucie State: FL
Zip Code: 34984 Fax: 772-340-2464
Phone No 772-340-2080
Mail: tots26@gmail.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail trzr.admin(a)pauldavis.com
State or County License CGC1529930
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:
Name: - —
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
Name:
Address:
City:
Zip: Phone:
,Not Applicable
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 Rrant[ng 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 rev ew 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 fades and St. Lucie CountyAmendments.
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 tender or an a e fore c mencin work or retordin our Notice of Commencement.
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JAW L ZAVALA
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Signature of Contractor or - Owner Builder as applicable
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STATE OF FLORIDA /
COUNTY OFy.P t 1,
Swo to (or affirmed) and subscribed before me of
V Physical Presence or
—Online Notarization
this day of "DI e . 20_ 1 by
Name of pers n malting statement.
Personally Known.le* OR Produced Identification
Type of Identification Produced
(SI nature ofN��Public-
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