HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: C�)//
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Building Permit Application vzo_' 69
Planning and Development Services `tit '3
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 CBDG Funding
PERMIT APPLICATION FOR:
Address:
Property Tax ID #: 13 ta Lot No.�
Site Plan Name: Block No. i 43
Project Name: r
DETAILED bt st i OR
W *_0114 - LA _B&94. - I '96!2-�. 9,
Ll'o Y f� - I �LQ --) � - a 30 14
lew Electrical Meter Second Electrical Meter (Affidavit required)
Additional work to be performed under this permit —check all that apply:
XMechanical Gas Tank Gas Piping _XShutters _x Windows/Doors Pond
_XElectric X Plumbing _(Sprinklers — Generator ._X Roof Pitch
Total Sq. Ft of Construction: 'I �LP;� Sq. Ft. of First Floor:
'
Utilities: Sewer Septic Building Height:
S Oi _sir _7
%;
CCNTRACFOR
Name Focus Homes. LLC of Florida
Name: Mark Richard
Address: 1686 VV Hihiqr-1 m R11 Irl
company:Focus Homes, LLC of Florida
Address: 1686 W. Hibiscus Blvd
- -
'
city: Melbourne state: EL
Zip Code: 39A01 Fax:
Phone No-391-79.5-5645K170.1 E-
city: Melbourne state: FL
Zip Code: 39901 Fax:
Phone No 321-725-5645
Mail: Weitzr(Mmaronda rnm
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-MailVVP6t7r@l%Aaronda rum
State or County License CBC1255394
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.
r
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _- Not Applicable
Name: FDS Engineering and Associates Name:
Address: 258 Southhall Lane Suite 200 Address:
city: Maitland State: F_ City: State:
Zip: 8275.1 Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone: _
X Not Applicable
BONDING COMPANY: y Not Applicable
Name: _
Address:
City:
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 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 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 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 attorney before commencing work or recording our Notice of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF Brevard
Sworn o (or affirmed) and subscribed before me of Physical Presence or Online Notarization
this 2dayof 20� by
Name of person making statement.
Personally Known X_ OR Produced Identification
Type of Ide ced
(Si e R Notary Pu tate of Florida)
yy,:
Commission No. (Seal)
•- REBECCAWEITZ
:_�.' `� 345
MY COMMISSION # HH 000
NA•�o ;� EXPIRES: March 16. 2025
Bonded Thru Notary Public Undenvriters
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev 5/20/21