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HomeMy WebLinkAboutBUILDING PERMIT APPLICATION\Owe . 1 All APPLICA LE INFO MUST BE COMPLETED F03 APPLICATION TO BE ACCEPTED Date: l Permit Number: �© SCANNED V�RECEiEQ Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 St. LucieCounYV Building Permit ApplicatioLAUG 14v2, 1g unty,Permitting PERMIT TYPE: Garage Addition PROPOSED IMPROVEMENT LOCATION: Commercial Residential Yes Address: 1815 NW Buttonbush Circle, Palm City, FI 34990 Property Tax ID #: 4426-802-0016-000-7 Site Plan Name: Project Name: Lot No. Block No. IDETAILED DESCRIPTION OF WORK: I Adding a 6 x11 golf cart garage and pantry with new roof. New interior framing of walls per plan. Electrical per plan. New half bath and rearrange laundry per plan. L CONSTRUCTION INFORMATION: Additional work to be performed under this permit —check all that apply: _IEechanical _ Gas Tank _ Gas Piping lectric Plumbing _Sprinklers Total Sq. Ft of Construction: 66 Cost of Construction: $ 20,859 —Shutters _ Generator Sq. Ft. of First Floor: 2178 Utilities: _Sewer _Septic Windows/Doors Z Roof 5/12 Pitch Building Height: OWNERAESSEE`. CONTRACTOR: NameJonathan T Greene and Shari A Greene Name:Jesus Medina Address:1815 NW Buttonbush Cir Company: Big Dog Repair LLC City: Palm City State: I✓ Zip Code: 34990 Fax: Phone No. Address:130 S Indian River drive City: Fort Pierce State: Fl Zip Code: 34950 Fax: Phone No772-742-1200 E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mailbigdogserv@gmail.com State or County LicenseCBC125345 It value or construction is 52500 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 LAWINFORMATION: DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: Address: City: Zip: Phone: BONDING COMPANY: Address: Zip: Phone: _Not Applicable OWNtR/ LONTRALTOR 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 aml 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 "WARMING 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 Sf E BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR 1110TICF nF CNMFNrFMFNTP Signature of Owner/ essee/Co tr ctor as Agent for Owner Signature of Contr ctor/Licen Holder STATE OF FLOR A STAT RIDA COUNTY COUNTY OF The fo oing instru ent was acknowledge before me this day 20a by The for oing instr ent was acknowledge efore me M �by of this day of 20 f S Name of person making statement. Name of person making statement. Personally Known OR Produced Identification Personally Known OR Produced Identification —Z Type of Identification Type of Identificati Produced Produced L (Signs ure of N li (Signature of Notary P t of Florida ) KAREN S. NIELSEN ��_Slate of Flori sty Public ;= rj = 207484 Commission No. """" KAR Commission No. :'a"" °`e% F� $I NIELSEN �iB�Notary ission1 My Commission Expires ,TSlate of F Public •e Commission p GG 2074 orvq"c` P` 8 4 June 1 , 2022 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETAUN COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED nVv. L7 r717