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Home My WebLink AboutBUILDING PERMIT APPLICATIONI 11 All APPLICABLJAFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: J ' SCAN h�P�ermit Num e7�P11tf fV�9� ,, -, �� -.. ON St. Luce BY Building'Permit Appli Pfanning'and Development Services Building ond:Code.Regulotion Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial ,PERMIT TYPE' Mechanical 703 Ulrich Rd RECEIVIFELD ition AUG 15 2019 Permitting Department St. Lucie County, FL Property Tax I D #: 3410-603-0078-000-6 Lot No.10,11,12,13 Site Plan Name: Ulrich's S/D Block No. C Project Name: Sidney "Bo" Milton out like for like C'f.1NCTRIAf'TIOIU�tN Ff1RMAT1(]N:.;"" '. ", _. .4 *=; �: ;.�'. •^'c .:'''�_ '"'e"' '.� Additional work to be performed under this permit— check all that apply: XMechanical Gas Tank _Gas Piping _Shutters _ Electric _ Plumbing _ Sprinklers Total Sq. Ft of Construction: Cost of Construction: $ 6300.00 _ Generator k Roof Pitch Sq. Ft. of First, Floor: Utilities: _Sewer _Septic Building Height: 'OWNER/LESSEE CONTRACTOR. ° Name Sidney Milton Name: Samuel T Durham Address: 703 Ulrich Rd Company: Advantage AC of the TC City: Ft Pierce State: _ Zip Code: 34982 Fax: Phone No. Address: 601 S Market Ave City: Ft Pierce State;Fl Zip Code: 34982 Fax: 772-465-4945 Phone No77z-465-1606 E-Mail, Fill In fee simple Title Holder on next page (if different from the Owner listed above) E-Mail Advantagepermits@hotmail.com State or County License CAC039664 I if value of construction Is 52500 or more, a REWRDEU Notice or commencement m reyuueu. If value of HVAC is'$7,500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTALCONSTRUCI-ION LIENIAW_INFORMATION e w DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: Name: Address: Address: City: State: _ Zip: Phone City: Stater_ Zip: Phone - FEE SIMPLE TITLEHOLDER: _ Not Applicable BONDINGCOMPANY: _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. 1 certify that no work or installation hascommenced prior to the issuance of a permit. St. Lucle 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 ownersAssociation rules, bylaws orand covenants that may restrict or prohibitsuch 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°TOUR 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 COMMENCEMENT. — Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTYOF slw COUNTYOF sip The forgoing instrument was acknowledged, before me The forgoing instrument was acknowledged before me this ++ day of r g t 20 1q by this +< day of A-g- 20 19 by S.el T Du,ham SamuelT OURa,g 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 Produced Produced (Signature of Notary Public -State of Florida) (Signature of Notary Public- State of Florida) i Commission No. (Seal) Commission No. (Seal) REVIEWS FRONT COUNTER ZONING REVIEW SUPERVISOR REVIEW PLANS REVIEW VEGETATION REVIEW SEATURTLE REVIEW MANGROVE REVIEW DATE RECEIVED DATE COMPLETED eV. a SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: Name: _ Not Applicable MORTGAGE COMPANY: Name: Not Applicable Address: Address: City: Zip: Phone State: City: Zip: Phone: State: FEE SIMPLE TITLEHOLDER: Name: _ Not Applicable BONDING COMPANY: Name: _Not Applicable 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 COMMENCEMENT." Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF St wde COUNTY OF Suude instrument was acknowledged before me The forgoing instrument was acknowledged before. me . y of August 20 IcA by this 14 day of August 20 I01 by s am uer� Samuel T Dumam •o me of rson making statement. Name of person making statement. d * B ca oz 7 r" nown x OR Produced Identification Personally Known x OR Produced Identification Z - tification Type of Identification u[P Produced 3, N in r Mitur of Nota Publi = ate (Si atur otary u is -State of Florida) e 2 3 /'/� / H No.(. (Seal) Commission No.�)5�a�Z.�— (Seal) e a m G REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev.