HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COM*ED FOR APPLICATION TO BE ACCEPTED
Date: 7i29/19 Permit Number: Iffn~
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
REGEtVEO
Building Permit Application jug .1019
SCANNED Pe�itt u9 County nt
BY 5t.
CornrlW' rLMi-GCOUTIN Residential Yes
PERMIT TYPE:Demo ��P,i1�Vbl!c�il
PROPOSED IMPROVEMENT LOCATION: �� 1
Address: 1H1b NW Buttonbush Cir, Palm Cit
Property Tax ID #: 442680200160007
Site Plan Name:
Project Name:
FL 34990
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK:
Removal of windows, sliding glass door, cutting floor for plumbing move, interior wails, front door removal
CONSTRUCTION INFORMATION`. _
Additional work to be performed under this permit— check all that apply:
_Mechanical _Gas Tank _Gas Piping Shutters —Windows/Doors
Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: 1,5977 Sq. Ft. of First Floor: 2,178
Cost of Construction: $ 3 3 s ar D of Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE: •
CONTRACTOR:
Name3onathan T Greene and Shari A Greene
Name:3esus Medina
Address:1815. Buttonbush Circle
Company:Big Dog Repair LLC
City: Palm City State: _
Zip Code: 34990 Fax:
Phone No.
Address:130 S Indian River Drive Suite 202
City: Fort Pierce State: FL
Zip Code: 34950 Fax:
Phone N0772-742-1200
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail bigdogserv@gmail.com
State or County LicenseCBC1253459
n vaiun ui cunxrucuon is acouu or more, a nct.unueu notice or commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCININ 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 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 qBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT:'
Signature of Own r/ Lessee C ntractor as Agent for Owner
Si ture of Con actor/License Ider
STATE OF F R
COUNTY OF / Y A rhV\
STATE OF FLORIq/,1�
�U
COUNTY OF UM ►-�
The r mstru nt was acknowled �j,before me
this of t^ } by
The r�gIn Instrument was acknowledged before me
thisg3ayof 20�gby
�20
Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identiftcatiolr�
Personally Known OR Produced Identification �—
Type of Identificatioq— _
Type of identification
i
Produced F�"1 Y
uced
DARCI E. IVEY
Notary Public - State of FI
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-• , •= Commission N GG 0107
7 "�;° Notary Public - State of Florida
M Comm. Ez iras Au 25,
2020J(9&1 �. ; .c Commission H GG Of 0707
(SI nature o IiC- State'of Ibridgfeded though National Notar
A i nature of Nota i IiC4 t�%°of 1 xfeu s Aug 25, 2020
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Commission No. v w &� (Seal)
!- i�ioLghNationalNalaryAssn.
Commission No. CEO - (Seal)
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