HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 03/05/2019 Permit Number: /q03 �13�
J RECEIVED
I Lei. 0
' Building Permit Application MAR 0 0419
Planning and Development Services Permitting Department
Building and Code Regulation Division St. Lucie dountY
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT TYPE: Concrete Patio
1,PRO.POSEOIMPROVEMENT"LOCATION: ;
Address: 911 Emerald Ave Fort Pierce, FL 34945
Property Tax ID #: 2309-801-0037-000-1 Lot No.
Site Plan Name: Residence of Matthew Guettler Block No.
Project Name: Front & Back Concrete Patio
DETAILED DESCRIPTION OF WORK: "
Form and Pour Concrete Patio in front of house 4 Add, o �✓ cr,"«p
Form and Pour Concrete Patio in rear of house 5 (wv{ w-� �• a I �, lw oPAc _
,aCO'NSTRUCTION, IN,.FORMATION,:
Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors
Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 2000.00
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
01NNER/LESSEE:" ., '
CONTRACTOR:
Name Matthew Guettler
Name: -664 e4we rc£p
Company: CvErm Gz Searwre!5
Address: 911 Emerald Ave
City: Fort Pierce State: FL
Address: yyoi vW;n. Rd.
City: r-. Pw-Eeeg State:
Zip Code: 34945 Fax: 772-461-8039
Phone No. 772-216-2579
Zip Code: a4a4-7 Fax: -»z 4at xa39
E-Mail: guettler.matthew@gmaii.com
Phone No -772- 14W 9345-
Fill in fee simple Title Holder on next page (if different
E-Mail ee.�
State or County License CC,C s i i so3
from the Owner listed above)
If value of construction is $2500 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: 4 Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Name:
Address:
Address: 5-90 aw omcek ,zijd s+r_ g
City: S�- L,..+ee State: j;e__
Zip: 3N9 81e Phone -7,z 879 oy-7'1
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: 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 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
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF &wda
COUNTY OF
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this 5th day of March , 20_!J_ by
this day of , 20_ by
Sharon M Moms
Name of person making statement.
Name of person making statement.
Personally Known X OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
,eav',X A - 1)1R4,4_Z'-W
Produced
(Signature of Notary Public- StapqQG rida4HARONM. MORR13
(Signature of Notary Public- State of Florida )
Commission # 00 233422
Commission No. GGZ33112Z (Sei!�Ires July 31,2022
Commission No. (Seal)
r?„I't�w,dc emdedThniBudpotNol�ryB�fvkE�
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 2/7/19