HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED /� p p� +� /y
Date:v a S�A��� Permit Number: —I Q 0 — 0 A fn
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St. LucieCoun4V AUG 14 1010
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Planning and Development Services
St. Luo!' Co
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: -(772)462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT TYPE:Shed
PROPOSED IMPROVEMENT LOCATION:
Address: 5412 Killarney Ave. Ft. Pierce, FL. 34951
Property Tax ID #: 1301-614-0013-000-6 Lot No.13
Site Plan Name: Block No. 157
Project Name: Killarney House
DETAILED, DESCRIPTION OF WORK:
installation of Superior Shed _ _5x f n t, (Y- 1) Ym wirO& 14 _
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: 174
Cost of Construction: $ 1,975.00
Sq. Ft. of First Floor:
Utilities: _ Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name P & C Construction of the Treasure Coast
Name: Michael Jacquin
Address:7348 Commercial Circle
Company: Paul Jacquin & Sons, Inc.
City: Fort Pierce, FL. State: _
Zip Code: 34951 Fax:772-466-2806
Phone No.772-465-2475
Address:7348 Commercial Circle
City: Fort Pierce State: FL
Zip Code: 34951 Fax: 772466-2806
Phone N0772-465-2475
E-Mail:scott.kraum@pjsi.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mailscott.kraum@pjsi.com
State or County License CGC 060473
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:
DESIGN ENGINEER: _ Not Applicable
Name: Matthew T. Baldwin P.B.
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
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 Court tyy 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 INjEND TO OBTAIN FINANCING, CONSULT
WITH YOUR,CEE�DER OR AN ATTORNEY BEFORE RECORDING YOUR NOT CEAFSOMMENCEMENT '
SignaturrZfjner/ Lessee/Contractor as Agent for Owner
Signature of p o L- ense Holder
STATERIDA
STATE F FLO I
COUNTY OF st. Lude
COUNTY OFst. Loge
The for oing instrument was acknowledged before me
th�is�lei dayof IAUg0 M ,201GI by
The forgping instr ment was acknowledged before me
this l�'"'dayof u usT ,20A by
LU�Lw
MitHnt'L
Name of person making statement.
Name of person making statement.
Personally Known x OR Produced Identification
Personally Known x OR Produced Identification
Type of Identification
Type of Identification
PrdiducedA C,rr •t,�. N�u,v public State 0 Florida
Pro ed
Nikki Cutler
Notary Pubtie Stan of Florida
My Commission GG 189140
Gregory S Kraum
or Expires 02122/2022
y.. My Commbaidn GG 313303
a E■pire& 0511012023
(Signature o otary Public- State of Florida)
(Signature of Notary P -
Commission No. CC313303 (Seal)
Commission No. GG313303 (Seal)
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