HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COLETED FOR APPLICATION TO BE ACCEP .
Date: 9/26/2019 Permit Number:
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Building PermitplicatioPlanning and Development Services unty, Permitting
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: ED
BY
PROPOSEp iMPROVEMENT LOCATION ucie,Cpunfy ,
Address: 7810 Germany Canal Rd
Property Tax ID #: 3229-211-0002-000-4 Lot No.
Site Plan Name- Block No.
Project Name:
DETAILED DESCRIPTION O;F WORK% '
New residential construction: 3 bedroom. 2 bathroom. no Daraae
I`.;CONSTRUCTION�INFORMATION €a z
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: Sq. Ft. of First Floor:
Cost of Construction:$ 245,000 Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:'
-CONTRACTOR:
Name
Name: Frankie Gauthier
Address:
Company: Above and Beyond Developing, Inc.
City: State: _
Zip Code: Fax:
Phone No.
Address: 1081 SW Bianca Ave
City: Port St. Lucie State: FL
Zip Code: 34953 Fax:
Phone No 772-579-5759
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail frankiegll50@gmaii.com
State or County License CBC1261264
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.CONST
IQ;N LIENLAW IN QRMATIQN:
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 Country 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 TOY R PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE jBIEFOREYNE FIRSPD41NSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITKXOUR LENDER mAifATrOCORDINC YOUR NOTICE OF CEM "
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIbq
4
COUNTY OF . LU Q15—
_
COUNTY OFF l 1112,1E .
The for oing instr Men as acknowledge before me
thi�p day of - 20� by
The for oing instrum nt wa acknowledge efore me
this�day 20�by
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of
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Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identific
Type of Identifica 'efr
Produced
Produced L /
(Signatur of
to pt lic-SIB n rl LSEN
(Signature of Notary
KAREN NIELSEN
��o°"Y'Ot% FlgGirj�otary
State of Florida -Notary Public
Commission Nc
Commission
n #(S�407484
Commission No.
:x=State of Public
= ommissilol G
;1��,�� ommiss ion Expires June 12, 2022
207a8a
'o` oP?,� My Commission Expires
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June 1
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