HomeMy WebLinkAboutappII APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Date: �/ 5 /) ,l Permit Number:
Building Permit Appli
RECEIVE®
AUG ® 5 ?pg
deCe Count
rruteing
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT TYPE:
PROPOSED IMPROVEMENT LOCATION:`
ddress: 302 S. Brocksmith Road
roperty Tax ID #: 2308-422-0004-000-5
ite Plan Name:
roiect Name:
TAILED DESCRIPTION.
Lot No.
Block No.
DF .WORK.
124 !7 �e W 2/,eG Ar +- C w) s e r y ice i-h �G C.f %% An, A,
'CONSTROCTION INFORMATION:
,dditional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters
Electric _ Plumbing _ Sprinklers _ Generator
otal Sq. Ft of Construction: Sq. Ft. of First Floor: _
ost of Construction: $ g°° o' 040 Utilities: —Sewer —Septic
Windows/Doors
Roof Pitch
Building Height:
OWNER/LESSEE
CONTRACTOR:
Name Nature's Keeper
Name:Joseph E. Herndon, Sr.
Address: 302 S. Brocksmith Road
Company: Joe's Electric of St Lucie Cnty., Inc.
City: Fort Pierce State: _
Address:1206 Bell Avenue
Zip Code: 34945 Fax:
City: Fort Pierce State: FL
Phone No. 772 467-1230
Zip Code: 34982 Fax: N/A
Phone No 772 465-2363
E-Mail: krysten@natures-keeper.com
Fill in fee simple Title Holder on next page ( if different
E-Mail Joeselecstlucie@aol.com
from the Owner listed above)
State or County License EC13007203
value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
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.SUPPLEMENTAL CONSTRUCTI`OU `tN LAW INFORMATION:
s.._..
DESIGNER/ENGIINEER: _ Not Applicable
MORTGAGE COMPANY: Not Applicable
Name: NIA O"I)A-
_
Name: N/A
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: _Not Applicable
Name: NIA /✓/ %4' Name: NIA
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
is in Home Owners Association bylaws
which conflict with any applicable rules, 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."
of 0 ner/ Lessee/ ontractor as Agent for Owner
7ATE
n ure of ontractor/License Holder
OF FLORIDA
;;ATEOF FLORIDA
OUNTY OF ST .RUC/ G
COUNTY OF
The forcing instrument was acknowledged before me
The forg 'ng instrument was acknowledged before me
this j"r day of {i LcC-[tST 20��� by
this
day of 20,/ by
�OSP.CI� .� 17`.��41Qyh Si'•
-
�.l c5 cad Li �r �-�t'Gr �c5 v� ��.
Name of perso6 making statement.
Name of pers n making statement.
Personally Known OR Produced Identification
Personally Known OR Produced Identification
_�
Type of Identification
Type of Identification
Produced
Produced
(Signatur
-
P.ANDOLPH MCDA IEL
(Signature
f P
IEL
Commissi
r3 .5 MY COMMISSION f F f}Oe
'•.
Commissio
MY COMMISSION 0 F ��
'•.,, 7.20
a, EXPIRES September OT. 2019
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
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MANGROVE
COUNTER
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DATE
RECEIVED
DATE
COMPLETED
i
ev. 2/7/19