HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONnot
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PPLICABLE INFOMUST BE Cdw.ir ETED FOR APPLICATION TO BE ACCEPT�: e: Permit Number:
-- -- Building Permit Applicationi.
FEB 0 5 2019
Planning and Development Services L ST. Lucie County, Perrr
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x
PERMITTYPE:Re build
PROPOSED INPROVEMENT LOCATION; $t'i
Address: oiuo role iree ui
Property Tax ID #: 3402 603 0166 000 5
Site Plan Name: Indian River Estates
Project Name: Smith Re -build
Lot No.42
Block No. 11
CONSTRUCTION INFORMATION: a I
Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank _ Gas Piping Shutters _ Windows/Doors
Y' Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: 0200
Cost of Construction: $ 30,000
Sq. Ft. of First Floor:_
Utilities: _Sewer 10 Septic
Building Height:
,.OWNER/LESSEE: .' ,
`CONTRACTOR: ,
Name Bill and Anita Smith
Name: Michael McFarland
Address:6015 Pinetree Dr
Company:VanWal Contracting
City: Fort Pierce State: _
Zip Code: 34982 Fax:
Phone No.772 631 5086
Address:5475 St James Drive #401
City: Port St Lucie State: FI
Zip Code: 34983 Fax: 772 873 1181
Phone No 772 2609348
E-Mail:wmsmith6105@gmail.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail bobbi.vanwal@gmail.com
State or County LicenseCGC 1509090
If value of construction is $2500 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.
SLJPPLEMENTA 9NSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _
Name:SouthF=MBuMmEr jneem
Noo Ica61e
MORTGAGE COMPANY: _ Not Applicable
Name:
Address: 5911 Peseta Drive
Address:
City: P.-
Zip:32571 Phone7727749086
State: R
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _
Name:
Not Applicable
BONDING COMPANY: Not Applicable
Name:
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.
1 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.
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 jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commepping Work or recorAing Ypur fyotice of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
LUGp.
STATE OF FLORIDA
COUNTY OFS .
COUNTY OFF,
The forg n-g instrument was acknowledge before me
4
The forgoing instrument was acknowledged before me
this, ayof _WAOO f 20 by
thisday of 20LcL, by
(1)i116rf) Q11� AnjI4 Smith
It=sue Gr�r1e__
Name of person making tement.
Name of person making statement.
�0
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signature of Notary Public-
State of Florida)
(Signature of Nota blic- State of Florida )
Commission No.
i'"�, (S Q�KaBUSH
Commission No. �t•.�c�{ `'%S � MGC+ V
i', `I Notary, u on State of Florida
q, Commission p GG 259632
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nev.9/2b/18