HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 02/08/2022 Permit Number: T_
J jig `
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 CBDG Funding
PERMIT APPLICATION FOR: Remove and Replace Drywall
PROPOSED IMPROVEMENT LOCATION:
Q
Address: 1003 N.35th Street Fort Pierce, FI 34947
Property Tax ID #: 2405-701-0115-000-1 Lot No. 1
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
Remove and replace Drywall
New Electrical Meter Second Electrical Meter (Affidavit required)
[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:
Generator
Sq. Ft. of First Floor:
Block No. 44
Windows/Doors _ Pond
Roof Pitch
Cost of Construction: $ 5,000.00 Utilities: _ Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Jerry White
Name: Caesar Horne
Address: 1003 N. 35th Street
Company: C Horne Construction Company
city: Fort Pierce State: FL
Zip Code: 34937 Fax:
Phone No. 404-643-3535 E-
Address: 20830 NW 34th St
City: Miami State: FL
Zip Code: 33056 Fax:
Phone No 305-336-1102
Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-mail Chorne.const@yahoo.com
State or County License CGC1518208
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:
DESIGNER/ENGINEER: Not Applicable
Name: _
Address:
City: State:
Zip: — Phone
i SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: _ Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
x . Not Applicable
State:
_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 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.
Te 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-residentlal 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 attiornlev before commencing work or recording your Notice of Commencement.
Si re of Contractor- o - Owner Builder as p cable
STATE OF FLORID.4+-`
t Cil� COUNTY OF ��
swor to (or affirpleQ) and subscribed before me of
this day of (i17 J 20 Z-7z-by
Physical Presence or Online Notarization
Name of person making statement.
Personally Known Z OR Produced Identification
Cldentific;_atiProduced
(Signature of No y Public- State of Florida)
Commission No. 'j5, 6(Seal)
'kOANIKcR HUNT
Q`: Notary OuDhc -Sate Of Flonda
Comm'SSWn z 4H L129526
�F My Comm. Expires Aug 5. 202A
[lOnded through Na i
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Page 1of1
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Surcts
Address
Amount of Bond
Lender
Address
NOTICE OF CONINI EACEN ENT
Permit No. Property Fax 11) No. 2405-701-0115-000-0
Mate of Florida. County of St. I ucie
The Undersigned hereh% gives notice that improvement will be nude to certain real property, and in accordance with
Chapter 713. Florida Statutes, the follow ing information is pros ided in this Notice of Commencement.
Legal Description of property and address if available _ 1003 N. 35th_Street Fort Pierce, FI 34947
Lott BLock 44 Sunland Gardens Plat 3
General description of improvements Remove and Replace Drywall
Ownerlessec Jerry White
Address 1003 N 35th Street Fort Pierce, FL 34947
Interest in property: Owner
Fee Simple Title holder (if other than owner)
Address
Contractor C Horne Construction Coma
Phone # 305-336-1102
Address 20830 NW 34th Street Miami, FI 33056 Fax #
Phone #
Fax #
Phone #
Fax #
Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided
b} Section 713.13 (a) 7., Florida Statues:
Name Phone #
.Address
In addition to himself, owner designates
Phone #
Fax #
Fax #
of
to receive a copy of the Lienor's Notice as provided in Section 713.13 (1) (b), Florida Statutes. Expiration date of notice of
commencement is one year from the date of recording unless a different date is specified. WARMING TO OWNER:
ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER
PAYMENTS UNDER CH.713.13, F.S., AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN
FINANCING, CONSULT WITH YOUR LENDER OR AN
NEY BEFORE COMMENCING WORD OR RECORDING YOUR NOTICE OF
COMME-NCMENT.
or Owner's or Lessee's Authorized Officer/Director/Partner/Nianager/ Signature
s Ti[IdO ice
State of Florida, County of S0,LtCjP
Acknowle before me this / , day of ar209 by - CZ.it,u Whs _ ,
who is ersonall know to me or who has produc�eddam Ir- as identification.
Q`L ritJ- Kc 4—
Signature of , otary Type or Print Name of Notary (Seal)
Title: Notary Public Commission Number1�
DANIKER HUNT
'�/•`� `.. Notary DubliC - State of Florida
Commission A HH 029526
�'ror n My Comm. Expires Aug 6. 2024
Bonded through National Notary Assn.