HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: 00 lI
3
RECEIVED
Building Permit Application
Planning and Development Services APR ® 6 7020
Building and Code Regulation Division Permitting Department
2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucie County
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMITTYPE:fascia, soffit repair
PRO, POSEU, IMPROVEMENT LOCATION: e
Address: 2601 Industrial Ave 3 Ft Pierce, Fla. 34946
Property Tax ID #: 1429 501 0085 000 7 Lot No.1, 20
Site Plan Name: NA Block No. 6
Project Name: fascia and soffit repairs
replace 52' of existing fascia and soffit panels on an old metal building
CONSTRUCTION IWORMATIION
Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank' _ Gas Piping _ Shutters
_ Electric Plumbing _ Sprinklers _ Generator
Total Sq. Ft of Construction: NA Sq. Ft. of First Floor: NA
Cost of Construction: $ 9,500.00 Utilities: _Sewer _Septic
_Windows/Doors
_ Roof Pitch
Building Height: 20'
OWNER/LESSEE:
-'CONTRACTOR:
NamePalmetto Patch LLC
Name: Douglas F Davis
Address:2511 N. Indian River Drive
Company: Richard K Davis Const Corp
Address:
City: Ft Pierce :,,.State:
34946 ��' •�„,„ , NA i'
Zip Code. Fax �° is ��
Ft Pierc'''y,.^'°�;ee Fla
City: ' State:
€�
Phone No 772 `370� 035`1 t:• ; s
,,: , „�,^ ,
;
p 34.954 . ,; '�"`772 465 7665
Zi Code: Fax:
E-Mail:
Phone No 772`370.3356 . <; ,
Fill in fee simple Title Holder on next page ( if different
E-Mail rmullins@rkdavis.com
State or County LicenseCGC013084
from the Owner listed above)
It value of construction is 52500 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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:.
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name: Paul welch Inc.
Name: NA
Address:
Address:1984 SW Biltmore St
City: State:
City: Pt St Lucie State: Fla
Zip:34984 Phone 772 785 9888
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: Not Applicable
Name: owner
Name:NA
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
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 BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
W OUR LENDER OR M ATTORWY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
/ see/Contractor as Agent for Owner
Signat of Own;CA
Signature of/Contractor/License Holder
ST TE OF FLO
STATE OF FLORIDA
COUNTY OF St Lucie
COUNTY OF St Lucie
The forgoing instrument was acknowledged before me
thisL-&"day of �" ���%- , 202.!/ by
The forgoing instrument was acknowledged before me
this SOT day of �'L� , 20Zc>by
Name of person making tatement.
Name of person making statement.
Personally Known " OR Produced Identification
Personally Known OR Produced Identification
Type of. Identification
Type of Identification
Produced
Produced
(Signature of Notary Public- State of Florida)
(Signature of NotaryPublic- State of Florida
Commission No N„u,
p`�- DEER �� NER
_�� ; ��•, Notary Public - State of Florida
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Commission ,a P��''•, DEBRA K E��ER I11
; ry-Public - Sta gN61da
; • Commission � GG 047893
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