HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
I. n 11� e a
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT TYPE:
PROPOSED IMPROVEMENT LOCATION:
Permit Number:
SCANNED
BY
St. Lucie Counts/
Building Permit Appli
Commercial
Address: 5060 Slash Pine Trail Fort Pierce FL 34951
Property Tax ID q:1418-213-0020-000-6
Site Plan Name:
Project Name: Sullivan
DETAILED DESCRIPTION OF WORK:
MAY 13 2019
Lucie County,
Residential X
Replace electrical, plumbing and Mechanical. Add Gas stove and gas hotter heater.
New insulation and drvwall
Lot No.
Block No.
CONSTRUCTION INFORMATION: I
Addittiioo�a] work to be performed under this permit —check all that apply: /
✓ Mechanical `✓Gas Tank Gas Piping _ Shutters 4 Windows/Doors
-2Electric Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: 2760 Sq. Ft. of First Floor: a"b
Cost of Construction: $ I00;900 r D0 Utilities: _Sewer ZSeptic Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameKevin andiea- Sullivan
Name:
c,
Address:5060 Slash Pine Trl
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Company: Coq,5TAI PtJ4ts
COr1S
City: Fort Pierce Stater
Zip Code: 34951 Fax:
Phone No.954-658-8327
Address: 1119'6 SW I6,Yjgjgke_
C!
City: PO'+ a- tgeye
Zip Code: 3 yq/T7
Phone No Z2-J5 - 20
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State: Yl
Fax:
E-Mail: JAf gjgl� /Aiiaa ,CM,&
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail Co444al p4lmS p/oOWti
/
L6�%GM41 . COW,
State or County License 601-
lab G 79S_
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.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
_ Not Applicable
MORTGAGE COMPANY: Not Applicable
NameAare A (1ArsDA
_
Name:
Address: z7 /6 9-_l_56 0eca�
&t&
Address:
City: 5444if
State:
City: State:
Zip: 3kg46 Phone
Zip: Phone:
FEE SIMPLE TITLEHOLDER:
_ Not Applicable
BONDING COMPANY: _Not Applicable
Name:
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.
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
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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR All ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Signature of Owner/ Lesse /Contractor as Agent for Owner
Signatur of Contractor/License Holder
STATE I FLORID{ II II
STATE OF FL?(tIDA
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COUNTY OF �,t• L_1JL L
COUNTY OF `> (A 1 OZ- _ L Ur 1
The foing instrument was acknowledge before me
this day of 20_U by
The fo ing instru en t was acknowledg efore me
this 7day of by
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Name of person making statement.
Name of person making statement.
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Personally Known OR Produced Identification r
Personally Known OR Produced Identification
Type of IdentifiCatien
Type of Identification
Produced L bL
Produced ll LN—
'Fr °�ii�•. MICHELLE GR
Notary Public - Suit
sy Commission N GG
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My Comm. Expires D
(Signature o Notary - Publi State o F r'
nature of I ublic-State of a rouq attona
„ P ,, KAREN S. NIELSE
Commission No. ate;"" acF;cStl>58a1) Florida -Notary Pu)'
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mission No.Lt d (Seal)
= +_ Commission # GG 2074
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REVIEWS
FRONT
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PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
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of Assn.