HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONJ
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APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
te: 9 %• % 'SCANNED Permit Numb
DEW
Building Permit Application
ning and Development Services
ling and Code Regulation Division
) Virginia Avenue, Fort Pierce FL 34982 ,
ne: (772) 462-1553 Fax: (772) 462-1578 Commercial
SEP 6 2018
Permitting Department
St. Lucie County, FL
Res1dentia —�
PE ��
MIT APPLICATION FOR: Siding
PROPOSED IMPROVEMENT LOCATION:
Add
Leg
Jess: 4100 Smokey Pines Court, Ft. Pierce, FL 34951
Description: HOLIDAY PINES S/D-PHASE III - LOT525 (MAP 14/18N)
d
Pro
Site
Proj
Set
arty Tax ID #: 1313-502-0102-000-0 Lot No. 525
Ian Name: Block No.
ct Name: WALSH
, cks Front Back: Right Side: Left Side:
DE
AILED DESCRIPTION OF WORK:
INS
ALL JAMES HARDIE SIDING ON ENTIRE HOUSE
CONSTRUCTION INFORMATION:
Additional work to be oertormed under this Dermit —check all that aDD V:
1JHVAC u Gas Tank Gas Piping
Electric 0 Plumbing Sprinklers
Total q. Ft of Construction:
Cost f Construction: $ 20 Q oO
UShutters Lj Windows/Doors
FGenerator F]Roof Roof pitch
Scl. Ft. of First Floor: _
Utilities: Sewer Septic
Building Height:
OW
ER/LESSEE:
CONTRACTOR:
III
Addi
City:
Zip
Phon
E-M�I:
Fill in
from
BILL WALSH
Name: MICHAEL HOLEMAN
Company: HOLEMAN INC.
Address: 212 N. US HWY 1, #17
City: TEQUESTA State: FL
Zip Code: 33469 Fax: (561) 743-3787
Phone No. 561) 743-0687
E-Mail: mike@holemaninc.com
State or County License: CBC 1250217
ss: 4100 SMOKEY PINES CT.
I, T. PIERCE State:FL
ill de: 34951 Fax:
No. (772) 201-8702
waish28@bellsouth.net
fee simple Title Holder on next page ( if different .
the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: I
Narbe:
ME
_ Not Applicable I
MORTGAGE COMPANY: _ Not Applicable
Name:
State:
Phone:
PLE TITLE HOLDER: _ Not Applicable
Phone:
i
Address:
City: State:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Name:
Address:
City:
Zip: Phone:
I cefify that no work or installation has commenced prior to the issuance of a permit.
St. L cie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
whic, 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 c �sideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in ac ordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The ollowing building permit applications are exempt from undergoing a full concurrency review: room additions,
acce sory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WA tNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
imp ovements to your property. A Notice of Commencement must be recorded and posted on the jobsite
bef 're the first inspection. If you intend to obtain financing, consult with lender or an attorney before
Corr, miencing work or recording our No ce of Commencement.
s
Sign ture of Owner/Lessee/Contractor as Agent fkInr Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FL I A
COUNTY OF S� �-U�� COUNTY OF
The orgo�ing instrum nt was acl nowledged b fore me The fo going instrumentwa acknowledged before me
this Ot day of 20 ) �by thi; day of 20 by
(Na 'e of pers acknowledging) (N a of s n/ackn dging )
(SirRIature of No ublic- State of Florida) (SJof
Notary ublic- Stateof Florida )
Pers nally Known OR Produced Identification PL eKnown ISO
Type �pf Identification Produ d'f6a e-h ntification Produced/ //NOTARY PUBLIC Com Isslon#00246393
Com fission No. �! STAj3" W� FLORIDA Con No. " es August7, 2022
Comni# GG197907 �'r"OF." Bonded ThruBudget Notuy3W*0
07/15/2014
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COUNTER
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