HomeMy WebLinkAboutBuilding Permit Application for 5500 St. Lucie Blvd.All APPLICABLE INFO MUST BE COMPLETED FOR AP.P.L4CATIJM TO BE ACCEPTED
Date:
S
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Permit Number:
Building Permit Application
Commercial Residential x
Address: bQ S4. L v Ci.{ AIV D -4vj t- Lod C_
Property Tax ID #: 'd4 -066 - S Lot No. 7
Site Plan Name: Block No,
Project Name:
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:
Cost of Construction:
Sq. Ft. of First Floor:
Windows/Doors
Roof Pitch
Utilities: _Sewer _Septic Building Height:
Name
Address: �7 L �iG1-P 8��� �a7rC►
City: 1 •.P State: ELL -
Zip Code: L?y9 y Fax:
Phone No.
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
CONTPAaM
Name: Gary Whigham
Company: South Florida Aluminum Products
Address: 4807 S US HIGHWAY 1
City: Fort Pierce State: FL
Zip Code: 34982 Fax: 772-466-1074
Phone No 772- 466-0913
E-Mail sfapbooks@soflalum.com
State or County License
i
F value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
F value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW"11
DESIGNER/ENGINEER: ` Not Applicable"
Name:
Address: $ 'LZ D
City: _� u z`r> p State: -L
Zip: _33t a 0 9 Phone 5r'1 e3 — 17 9;Z y n 3
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
Address:
City:
Zip: Phone:
ORMATION:
MORTGAGE COMPANY: x Not Applicable
Name:
Address:
City:
Zip: Phone
BONDING COMPANY:
Name:_
Address:
City:
Zip:
Phone:
State:
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 J ND_TB- OBTAIN FINANCING, CONSULT
WITH,
Yt*JR,1ALDER OR AN ATTORNEY BEFORE RECORDING YOUR OT I F COMMENCEMENT."
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Signature ner Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF ST LUCIE
The foing instru ent was acknowledged before me
this Lorgday of 201, by
GARY WHIGHAM
Name of person making statement.
Personally Known X
OR Produced Identification
Type of Identification
Produced
(Signature of N
.s**
Notary Public State of Florida
Commission No.
Emily N Hicks(Sealj�
mrsawn HH 0 7541
Os w
Expires 08/30/2024
Holder
STATE OF FLORIDA
COUNTY OF ST LUCIE
The fol"Ping instru�T1 ent was acknowledged before me
this L day of Po
20 22, by
GARY WHIGHAM
Name of person making statement.
Personally Known x OR Produced Identification
Type of Identification
Produced
(Signature of
y"` " Notary Public gIMpa of Florida
Commission N Emily N �i+cltss (Seal
jjry t �mrnins ion HH 037341
a, n Expires OS/30/2024
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