HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR A
Dan
0
Build
Planning and Development Services
Building and Code Regulation Division G
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 4624553 Fax: (772) 462-1578
ION TO BE ACCEPTED
Permit Number:
RECEIVED
SCANNEDBY tv MAR 3 11021
i St, Ludo County
Application Pormltting
Imercial Residential
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT40CATION: >
Address: 3000 N HIGHWAY AlA 8D; FORT PIERRCE,
FL 34949
Property Tax ID #:1425-756-0028-000-2
Site Plan Name:
Lot No.
Block No.
Project Name: HARRY L NEELY (TR)
I
DETAILED DESCRI.PTIQN OF "RK
INSTALL (4) ACCORDIONS
New Electrical, Meter Second Electrical
Meter (Affidavit required)
CONSTRUCTION- FORMATION`
Additional work to be performed underthis 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: 662 Sq. Ft.. of First Floor:
Cost of Construction: $ 13405.86 Utilities: —Sewer _Septic
Building Height;
OWNER/LESSEE:
CONTRACTOR:
NameHARRY L NEELY (TR)
Nam&Jeffrey Tollison
Address: 3000 N HIGHWAY AlA 8D
Company: LEVINSON BUILT, LLC
City; FORT PIERCE State: FL
Add ress:1638 Donna Road
Zip Code: 34949 Fax:
City' west Palm Beach state:FL
Phone No.248-649-9000 ..
Zip Code: 33409 . Fax:
E-Mail:
Phone No 561-712-9882
Fill In fee simple Title Holder on next page ( if different
E-Mail Permits@levinsonbuilt.com
from the Owner -listed above)
State or County License CGC 1512423 ,
If value of construction is z5uo or more, a KtwKueu rvouce. or c.ommeneemenz 15 reyuIreu.
If value of HAVC Is $7,500 or more, a RECORDED Notice of Commencement Is required.
SUPPLEMENTAL CONSTRUCTWION LIEN'LA
INFORMATION:
DESIGNER ENGINEER: _ Not Applicable
MORTGAGE COMPANY:
_ Not Applicable
Name:
Name-
Address:
City: State:
Address:
City:
:State:
Zip: Phone I
Zip:. Phone:
FEE SIMPLE TITLE HOLDER:; _ Not Applicable
BONDING COMPANY:
_Not Applicable
Name:
Name:
Address:
Address:
ip
ZPhone: I
I
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permitto clothe work and Installation as indicated.
I certifythat no work or installation has commenced priorto the issuance of a permit.
St. Lucie County makes no representation that is granting; permit will authorize the permit holderto 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 Buildi gCodes and St. Lucie County Amendments. .
The following build.iing 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 twicefor
improvements to your property.,A Notice of Commencement must be recorded in. the publicrecords of St.
Lucie County and posted on the jobsite before the first inspection. If you intend tobbtain financing, consult
with lender or an attorney before commencing work or recording your Notice of Commencement.
Signature
STATE OF FLORI
COUNTY OF
as Agent for Owner
Swor (or affirmy1e�d�) ,aB,d su scribed before me of Physical Presence or Online Notarization
this day of .& -0 Z0s2 by
Name of person making statement.
Personally Known OR Produced Identification _
Type:of Identifica ion Produced
(Signature of Not#yJPublic-State of Florida ).
Commission No. (Seal)
REVIEWS FRONT ZONING SU
COUNTER REVIEW I F
RECEI
ED
ED
�i$'6�B•.; EKATERINA STROGANOVA
o V:
Notary Public State of Florida
Commission # GG 272948
My Comm. Expires Oct 31, 2022
Bonded through National Notary Assn.
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