HomeMy WebLinkAboutJohnson permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: '/ �}i �1i Permit Number:
LL C!
L L 0 1 Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1S53 Fax: (772) 462-1578
PERMIT APPLICATION FOR:BIIl Johnson
PROPOSED IMPROVEMENT LOCATION:
Address: io man r-aDio Ln
Property Tax ID #: 3427-500-0501-000-7
Site Plan Name: JOHNSON
Project Name: Johnson
DETAILED DESCRIPTION OF WORK:
Replacement of doors with impact
New Electrical Meter Second Electrical Meter
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: $ 8,000.00
_ Generator
Sq. Ft. of First Floor:
Lot No.
Block No.
Windows/Doors Pond
Roof Pitch
Utilities: _ Sewer Septic Building Haioht-
ER/LESSEE:
CONTRACTOR:
William B Johnson III
ffAddress:
Name: Jeffrey Walsh
16 San Pablo Ln
City: Port St. Lucie FL _
State:
Zip Code: 34952 Fax:
Phone No.772-444-7112
Company: Port St. LucieLiberty Impact Windows and Doors
257 SE Monterey
Address: y Road East
. Stuart
City. State: FL
34994
Zip Code: Fax:
Phone No772-444-7112
E-Mail
libert
E-Mail: YPermitting@gmail.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
If value of construction is 2500 or more. a RFCnRnFn nl.,ri�e „s �,
State or County License CGC 1528257
.. _ ___
It value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required. cu
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
OFSI[;IUGQ ewi^...�....
Name:
,•�< <,NNirciDle
Address:
City; State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: _;; Not Applicable
Name:
Address:
City.
Zip: Phone:
OWNER/ CONTRACTOR AFFinywr
MORTGAGE COMPANY: Not Applicable
NaiPte:
Address:
Cny. State:
Zip: Phone:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
Zip: —_. Phone:
• 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' granting a ermit will authorize the permit holder to build the sub ect
which is in conflict with an a licabi
structure. Please consult with your Home Owners Association and review your deed for any restrictions which
Y PP a Home Owners Assoc ation rules, bylaws or and covenants that may restrict or prohibit such
In consideration of the granting of this requested permit, I do hereby may apply.
in accordance with the approved plans, the Florida Building Codes and Ste Lucie County Aall mendmennttsperform the work
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, wails, signs, screen rooms and accessory uses to another non-residential use
"WARNING TO OWNEW YOUR FALLURE TO RECORD A NOTICE TWICE FOR IMPROVEMENTS TO YOUR OF COMMENCEMENT MAY RESULT IN YOUR PAYING
POSTED ON THE RE THE � I1N7 OF MAY
MUST BE RECORDED AND
Wfl�FNIYTUR LENLT
DER SITE ATT ��, BEFORE li1`C EC'IIONRDING. IF YOU INTENDE" OT MUAIN FlNA RECO CtR1iS ND�s
YOUR IibTICE OF MMYFwrj=m_ nr s
Signature
as Agent for Owner
STATE OF FLORIDA
COUNTY OF A✓l,er<(L i
The forgoing instrument was acknowledged bby re me
2
C � VJ,�r✓S4
Name of person making statement.
Personally Known OR Produced Identification
Type of identification ANraa J.
Produced NOTARY PUgUC
STATE OF FLORI
0151" GG949121
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Commission No. C_2224222 (Seal)
REVIEWS FRONT ZONING SUPERVISOR
-- COUNTER REVIEW REVIEW
Signature of
STATE OF FLORIDA
COUNTY OFF l/e_-TIh=
The forgoing Insfrumeilt was acknowledged before me
this ZL"ay of 20 Z2 by
IAt
Name of person making statement.
Personally Known OR Produced Identi�fication
Type of Identification A aj. Hip ---
Produced J NOTARY PUBW
)A �: a STA7 E OF FLORIDA
y COmm# GG949120
4 �e Expires 3/29/2024
(Signature ry Public- State of Florida )
Commission No.EC-°,�o (Seal)
PLANS VEGETATION SEA TURTLE MANGROVE
REVIEW ) REVIEW L REVIEW REVIEW