HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Februa
ry 3,
2022
'5 f Tom+ , , ' �•t.: t
Permit Number:
__W111
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential Xi
2300 Virgina Avenue, Fort Pierce FL 34982
Phony:(772) 462-1553 Fax: (772) 462-1578 CBDG Funding.....
PERMIT APPLICATION FOR:
Replacement of existing deck and stairs
� PROPOSED IMPROVEMENT. LOCATION -OF
Add ress: 5312 Galley Way Hutchinson Island, FL. 34949
. ... M.'' - %04 %. .. _.
PropertyTaxlD#: 1410-w502-0103w-000/5 Lot No. 103
Site Plan Name: Block No.
Project Name:
Replacing existing deck and sta
irs at
mobile home
New Electrical Meter Second Electrical Meter (Affidavit required)
A dditional work to be performed
�I
Mechanics
Electric
WE"-p-mW-w"
Total Sq. Ft of Cc
Cost of Construc
Gas
---- AM.W.W.W.
under this permit— cheek all that apply:
Tank
Plumbing
instruction; $0
tion: $ 2000
Gas
Spri
Piping
nkle
Shutters
Windows/Doors
Pond
rs Generator Roof Pitch
Sq. Ft. of First Floor,:
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE : CONT-RACTO'R:
Name James Thorpe and Annette Youni
Address: 5312 Galley Way
City; Hutchinson Island State: FL
Zip Code: 34949 Fax;
Phase IVo. 803m-673m-0502 E-
Mail: jorpeth57@yahoo.com
Fill in fee simple Title Holder on next page ('If different
from the Owner listed above)
Name,
Company:
.......__.....
Address:
City: State:
Zip Code.. Fax:
Phone Na
E-Mail
State or County License__
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 Noticei of Commencement s required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW.. INFQRMATION:
DESIGNER/ENGINEER: _Not Applicable
Name: Richard A. Jemison
Address: 3270 Hatcher Street
City: FT,, Pierce,State: FL.
Zip: 34981 Phone 772-215-5623
FEE SIMPLE TITLE HOLDER: X Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: X. Not Applicable
Name;
Address:
City: State:
Zip: Phone:
BONDING COMPANY.*, X Not Applicable
Name:
Address:
City:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT.0 Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no work orinstallation 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
accessory structures, swimming pools, fences, walls, signs, screen room
a full concurrency review: room additions,
sand accessory uses to another non-residential use
*V
WAH NIN(j 1 U UWNtP . Your tallure to Record a Notice Ot 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 len&r or an attorney before commencing work or recording your Notice of Commencement.
.4 9
0
saig a re of Contractor - or -Owner Builder as applicable
STA"E OF FLORIDA
COUNTY OF /
Sworn to (or affirm
this day of �
a d subscribed bef r me of
2by
Name of person making statement.
Physical Presence or Online Notarization
Personally Known OR Produced Identification
Type of I entification Produced
.....
/� /f %Inn ! 1 ➢r i.. _.. 1�L.
(Signature of Notary( P
fic- State of Florida)
Commission No, (Seal)
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