HomeMy WebLinkAboutBuilding Permit ApplicationDESIGNER/ENGINEER: _ Not Applicable
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:
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BONDING COMPANY:
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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 YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE §EFORE THE FIR�ST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER-ORAN/ATTORNEY-BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
`Signature of Ow e / Less'e/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF Port St Lucie
COUNTY OFPort stLucie
The for oing instrument was acknowledged before me
The forgping instrument was acknowledged before me
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PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
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REVIEW
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REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
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All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: a 3 a,'d Permit Number: ')-oO (o oco 31
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- Building Permit Applica ionJUN 2 3 2020
Planning and Development .Setvices
Building and Code Regulation Division ST. Lucie County, Permitting
2300 Virginia Avenue, Fort;;Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential*
PERMIT TYPE: v\� aks'�' _ C qz �
P:EtQPQSEQ li1/IPRC?VEMENTOCATIQN
Address: 10680 South Ocean Or 510 Jensen Beach FI, 34957
Property Tax ID #: 4511-516-0057-000-9
Lot No.
Site Plan Name: Block No.
Project Name: Hargis
Install 2_imp`act SGD's and one non -impact window
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors
Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 13,976.00
Name.Kevin Hargis
Address:1,06,80 S Ocea.n Dr unit 510
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic Building Height:
City: Jensen Beach State: _
Zip,Code:' 34957 Fax:
Phone No.561-504-0551
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: Steve Mears
Company: Lifetime Exteriors
Address:102 South F St
City: Lake Worth State: FI
Zip Code: 33460 Fax: 561-582-7505
Phone No561-533-8700 -.
E-Mail Diane@Lifetimeexteriors.net
State or County License PSL13-5933
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
if value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is, required.