HomeMy WebLinkAboutBLDG PERMIT APPAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date. Permit Number:
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
2-400 Virginia Avenue, Fart Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMITAPPLICATION FOR:
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Address: 2403 MELON CT
Property Tax ID 4: 242I MS 0025 000 7 Lot No.2
Site Plan Name: Block No. 4
Project Name: LYNCH'S RESIDENCE
CHANGE OUT 1 EXTERIOR DOOR - NO SIZE CHANGE
New Electrical Meter Second Electrical Meter
Additional work to be performed under this permit —check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters ✓'Windows/Doors _Pond
_Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 2,267.37 Utilities: —Sewer —Septic Building Height:
OWN CTOR
Name CODYLYNCH Name: DAMES DOAVIS
Address: 2403 MELON CT Company: AG CARPENTRY INC
City: FORT PIERCE State: _ Address: 13461 79TH CT N
Zip Code: 34982 Fax: City: WEST PALM BEACH State: FL
Phone No. 302 462 7761 Zip Code:33412 Fax:
E-Mail: Phone No 561-8554062
Fill in fee simple Title Holder on next page ( if different E-Mail Ra b000!J@ 0 M;L8 H
from the Owner listed above) State or County license CGC 022831
H 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: x Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: Name:
Address: Address:
City: State:_ City: State:_
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable
BONDING COMPANY: x Not Applicable
Name:
Name:
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 Counttyy 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 paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and pos on the jobsite before the first inspection. If you intend to obtain financing, consult
with lender or an Morneg before commencing work or recording your Notice ofCommencement.
kgoartikefiSf Owner/ Le e/ ractor as Agent for Owner
Signature of Co act r/License Holder
STATE OF FLORI
STATE OF FLO$$IDp�1
COUNTY OF
COUNTYOF PAfn,
SWO( o (or affirmed) and subscribed before me of
Swgrn to (or affirmed) and subscribed before me of
V
Physical Presence or Online Notarization
Physical Presence or Online Notarization
this,I_Lday of /ftI _T� 2aite by
this 't dayofr ,Cl. WPA by
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Name9f persbil making statement.
Name of person making statement.
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Personally Known OR Produced Identification ✓
Personally Known ✓ OR Produced Identification
Type of Identification
Type of Identification
Produ d
Produced
Si at re of Notaryublic- Stat a )
g, Jason Hand
(Sign re of N tary Pu c-Stat 41orido ) ANGEIAYGUNG
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C m ssion No t'.{.JI/IN(% I)Expins:
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No. - '
. f#Irlury 23
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[aTmission `-�Alydu ADnl12, 2024
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.
FLOINDA JURAT
FS 11205(13) — Effective January 1, 2020
State of Rorlda
County of PALM BEACH
Swam to (or affirmed) and subscribed before me by
means of
M Physical Presence,
—OR—
❑ Onllne Notarization,
this —? dayof—jy'04 170� .�Y
Day Month Year
JAMES D. DAVIS
Nome of person Swearing orAMrmmg
z:;z
Signature OfNotory Pu —State of Rondo
Nome of Notary Typed, Printed or Stamped
ANGEIAYOUNG R) Personally Known
Cmnmksiona GGMVA ❑ Produced Identification
Erplres APII12,2024
<or r0 Type of Identification Produced:
Place Notary Seal Stamp Above
Completing this information can deter alteration of the document or
fraudulent reattachment of this form to on unintended document.
DascriPdon of Attached Document
Tide or Type of Document
Document Date:
Signer(s) Other Than Named Above:
02019 National Notary Association
Number of Pages: