HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONt
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:4 a1 1 �� Permit Number: _
Planning and Development Services
Building and Lode Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMITTYPE:
PROPOSED IMPROVEMENT LOCATION:
OtO-CMG I
RECEIVED
Building Permit Application JUN 2 7 2019
5T. Lucie County, P_EP_mltting
Commercial Residential x
Address: 2358 S Brocksmith Rd, Fort Pierce, FL 34945
Property Tax ID #: 2320-501-0012-000-4
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
See attached plans- Replace trusses, roof, electric, plumbing, drywall,
A/C, interior framing, Cabinets, Tile Flooring throughout, Addition, windows, doors, insulation
Lot No.
Block No.
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
_Mechanical
_Gas Tank
_Gas Piping
_Shutters
/1 Windows/Doors
Electric
Plumbing
_Sprinklers
_Generator
X Roof Pitch
Total Sq. Ft of Construction: 3400
Cost of Construction: $ 160000
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Shawn Sparks
Name:Shawn Sparks
Address:2358 S Brocksmith Rd
Company: Sparks Contractor Services
City: Fort Pierce State: _
Zip Code: 34945 Fax:
Phone No.772.370.7575
Address:2358 S Brocksmith Rd
City: Fort Pierce State: FI
Zip Code: 34945 Fax:
Phone N0772.370.7575 _
E-Mail: SparksShawn3@gmail.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-MailSCS@SparksContractorServices.om
State or County License CBC 1259581
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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: Farley Engineering, LLC
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:8800 N US1 Ste t
Address:
City: Sebastian State: FI
Zip: 34945 Phone772.58s-s229
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
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.
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 AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMFNCFMFNT"
Signature of Owner/ Lessee/Contractor as Agent for Owner
Sgnature of Contractor License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF St Lucie
COUNTY OF st Lucie
The forgoing instrument was acknowledged before me
thi. day of 20, by
The forFing instrum�e�n.t was__ackno fledged efore me
this of fledged
,
—day
\
Name of person making statement.
Name of person making statement.
Personally Known t/ OR Produced Identification
Personally Known 'L�R Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Si ature of Nota ublic- State of Florida
JEAN M.
(Signa re of Notary Publi State of Florida )
SIN
C mission No. ff ft * )� MY EXPIRES: December
EXPIRES: Decembers
�7 .tg;Pe JEAN K SPARKS
• sion Nofi to e; �'� ' (etffyXIMMISSIONIFF 90
* 3, 20
bery5e
`% ovPF BondoTlwBud9eftte
EXPIRES: December
sentes c EXPBodIRES:
lThry Budget
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.