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HomeMy WebLinkAboutappAll APPLICABLEo INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ® Date: ® y eC/. Permit Number:---= - - -- It RECEIV ® JUL 15 2019 �.._ _ - Building Permit Applica inn Planning and Development Services e rm itti n g De pa rtm e n Building and Code Regulation Division St. Lucie County, FL 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X PERMIT TYPE: Demo PROPOSED IMPROVEMENT LOCATION: Address: 1919 N. 3rd St., Fort Pierce, FL 2403-602-0036-000-2 36 Property Tax ID #: Lot No. Site Plan Name: Block No. 131-67 Project Name: DETAILED DESCRIPTION OF WORK: , Demo of existing house down to-fotpdkar, Utility disconnect will be scheduled 110" CONSTRUCTION INFORMATION: ,Additional work to be performed under this permit -check all that apply: _Mechanical _ Gas Tank _ Gas Piping _ Shutters Electric _ Plumbing _ Sprinklers _ Generator Total Sq. Ft of Construction: Sq. Ft. of First Floor: 'Cost of Construction: $ � $ 5 7 S Q Utilities: _ Sewer _ Septic Windows/Doors Roof Pitch Building Height: OWNER/LESSEE:, CONTRACTOR: Name Americas Marble & Granite Co LLC Address: 1405 N US Hwy 1 Name: John Jacobs Company:John Jacobs Construction Inc. Address:4701 Oleander Ave. City: Fort Pierce State: _ Zip Code: 34950 Fax: Phone No. City: Fort Pierce State: FL Zip Code: 34982 Fax: 772-466-6491 Phone No 772-882-8334 E-Mail: Fill in fee simple Title Holder on next page (if different from the Owner listed above) E-Maillmiacobs4701 @gmail.com State or County License 19245 It value of construction is S2500 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: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone Zip: Phone: ;FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable _ Name: Address: (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. 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. l T;he 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 N07XE OF COMMENCEMEI19V of Owner/ as Agent for Owner I Signature Holder STATE�OF FLORIDA STATE OPfLORID COUNTY OF S� • L Lk c i 'Q. COUNTY OF �t • Luc; Q- The forgoing instrument was acknowledged before me The for instrument was acknowledged before me this I� day of _��. . 2011 by this 1 day of S—I ZL) , 20_PL by _5©� n 7c,o 61 7:Yn k Y\ :oaco %' Name of person making statement. Name of person making statement. Personally Known 9 OR Produced Identification Type of Identification Produced (Signature Y COMMISSION # FF2383: Personally Known X— OR Produced Identification Type of Identification Produced ature ofilotary Public - COMMISSION # •?o,��q,. E S Au usf 16,.20.19 CommissionNo �. ommission No. Seal ,;a I FI~ a 3 8333�Lc, sue,_;. - �i�vne:"„ �w9m�ibar�sn` ��a3g3 )3 I REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW RECEIVED DATE COMPLETED