HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONMM 11 ADD' 1 UST BE COPLETED FOR APPLICATION TO BE ACCEPTED
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Date: SCANNED Permit Number: ITII�o"0\/
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_~. Building Permit Appli��Ipq �
Planning and Development Services a Cou�rY eat
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: Exterior wall section repairs
'PROPOSED•IMPROVEMENT LOCATIOW,,
Address: 2704 Juanita Ave, Fort Pierce, FL 34946
Property Tax ID #: 1432-806-0OD4-000-2
Site Plan Name:
Project Name: McClain - ST Lucie Housing Rehab
(,DETAILED DESCRIPTION OF WORK:
Repair exterior framing wall and install new stucco — g x 6' a i➢e oX.
Lot No.136
Block No.
(,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
Total Sq. Ft of Construction: 1.342 sqft Sq. Ft. of First Floor: 1,342 sqft
Cost of Construction: $ 2,000.00 Utilities: —Sewer —Septic Building Height:
Pitch
OWNER/LESSEE:_
Name Edith McClain
Name: Jose De La Hoz
Address: 2704 Juanita Ave
Company: DE'LA HOZ BUILDERS, INC.
City: Fort Pierce, FL State: _
Zip Code: 34946 Fax:
Phone No. 772-626-6782
Address: 258 Del Monte Rd
City: Sebastian State: FL
Zip Code: 32958 Fax: 772-589-8127
Phone No 772-228-9723
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail hilda@delahozbuilders.com
State or County License CGC1514151
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.
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pDESIGN
.IEN,LAUV INFORMATIOtys f ;�;" � _ ,' �f "�r<- Y
ER/ENGINEER: x
Name:
Not Applicable
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:
Address:
City:
Zip: Phone
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: _
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�INTE
MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE T E FIRST INSPECTION. IF OTAIN FINANCING, CONSULT
WITH YOUR LEND R AN A ORN BEFORE RECORDING Y ENCEMENT."
of Owner/ Lessee tr ctor Agent for Owner
Signature of Cont yae r (Lice a older
ZCFFLORIDA
;CUINTYOF
STATE OF FLORI A �, //
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COUNTY OF ICI
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this U 4 day of ocTn 6 L� 20� by
this day of /i. 20 /9 by
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Name of person making statement.
Name of person making st,�tement.
Personally Known ✓ OR Produced Identifi
ration
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
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+•^ JESSICA M
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E MY COMMISSION
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(Sig Lure of Notary Public- State of Florida)
natu a of Notary Public- State of dg
Commission No. j F9Y41Pa (Seal)
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ion No. o'lov3 (Seal)
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ZONING
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t IR. 2021