HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONSCANNED
All APPLICABLE INFO MUST BE COMPLETED FOR
Date:
Permit Number: �lo-l'OS I�
O
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: New Construction- Single Family Residence
PROPOSED IMPROVEMENT LOCATION-4
Address:,? 0', M
Property Tax ID #: /JD� Lot No.
Site Plan Name: WJH FL LLC - Wade Jurney Homes Block No.
Project Name: Lakewood Park
DETAILED DESCRIPTION OF WORK:
New Constructeon- Single Family Resffidence
IY C Gs I CzIr I -(;ur& 4e
New Electrical Meter Second Electrical Meter (Affidavit required)
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank —Gas Piping _ Shutters Windows/Doors _ Pond
lectric lumbing _Sprinklers _Generator Roof
�/ Pitch
Total Sq. Ft of Construction: %' �� Sq. Ft. of First Floor 00, i,"k-.��
Cost of Construction: $ 1.014 '/J'O Utilities: —Sewer Septic Building Height:
OWNER/LESSEE:,
CONTRACTOR:
Name WJH FL LLC- Morey Doyle
Name:_ nnoray r)OJP
Company: WJH FL LLC - Wade Jurney Homes
Address: 3091 Governors Lake Dr Suite 300
City: Norcross State: GA
Address: 3091 Governors Lake Dr Suite 300
Zip Code: 30071 Fax:
City: Norcross State: GA
Phone No. (321) 270-6629
Zip Code: 30071 Fax:
E-Mail: Heather.Dahlin@CenturyCommunities.com
Phone No (321) 270-6629
E-Mail Heather.Dahlin@CenturyCommunities.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
State or County License rnr;11i174,.9R
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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: .
DESIGNER/ENGINEER: _ Not Applicable
Name: FDS Engineering Associates
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
Address: 258 Southhall Lane, Suite 200
City: Maitland State: FL
Zip: 32751 Phone (321) 972-0491
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
Zip: Phone:
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 is in conflict with any applicable Horne 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 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.
0�r�
Signature of O er Lessee/Contractor as Agent for Owner
STATE OF COUNTY OF ORIDA��,
Sworn to (or affirmed),and subscribed before me of
_ Physical Presence or Online Notarization
this day of !f 6 20_W by
lei
. >
Name o person ma ' statement.
Personally Known OR Produced Identification
Type of Identification Produce
(Signature of Notary Public- State of Florida )
y
PQIO & (Seal)
Public State of F►orida
eatherCDa_hIiny Commission HH 029010
E,?:Notary
xpires 08/05/2024
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Rev 5/20/21