HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO rLIST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
-- — -- — SCANNED
Building Permit Application By
Planning and Development Services St. Lucie Countv
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line I
PROPOSED IMPROVEMENT LOCATION:
Address: 3100 N. Kings Highway Ft. Pierce, Fla 34951
Legal Description: 25 34 39 N. 235.32' of S. 998.64', as meas on E. line of Kings Hwy, of E. 300' of W. 371' of NW 1/4 of SW
3481-1311
Property Tax ID #: 1325 322 0002 000 4
Site Plan Name: NA
Project Name: DVT Hurricane Shutters Building Remodel - enclose partially open east bay walls
Setbacks Front NA Back: NA Right Side: NA Left Side: NA
Lot No.
Block No.
I DETAILED DESCRIPTION OF WORK: I
finish enclosing the north, south and east walls of the existing 25' of the east end of the existing
building.
I CONSTRUCTION INFORMATION: I
HVAC L _J Gas Tank
Electric 0 Plumbing
mr— cnecKau appry:
Piping _Shutters
nklers ElGenerator
Total Sq. Ft of Construction: INA�sU(i S Ft. of First Floor: NA
Cost of Construction: $ 41,200.00 Utilities: Sewer Septic
W(l'W ihbows/Doors
Roof Roof pitch
Building Height: 19'
OWNER/LESSEE:
CONTRACTOR:
Name DVT Hurricane Shutters, Duane Van Tassel
Name: Douglas F Davis
Address:3100 N. Kings Hwy
Company: Richard K Davis Construction corp
City: Ft. Pierce, Fla. State: Fla
Zip Code: 34951 Fax:
Phone No. 772 466 4575
Address: PO Box 186
City: Ft Pierce State: Fla
Zip Code: 34954 Fax: 772 465 7665
Phone No. 772 370 3356
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: rmullins@rkdavis.com
State or County License: cgc013084
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: Pauiwelchinc
MORTGAGE COMPANY:
Name:
X Not Applicable
Address:+ee4swBiitmerest. #114
Address:
City: PLSLLucie State: Fla.
Zip: 34984 Phone: 7727E5eeee
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: = Not Applicable
Name:
BONDING COMPANY:
Name:
C Not Applicable
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
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 conl lict 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 jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording vour Notice of Commencement.
� L6',L &L� br.6. 4_�qj�''o v2t� S
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of C ntractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF J�COUNTY OF C7Y
The forggjng instrument was acknowledged before me
this 2Vday of—&4 , 20/Lby
Personally Known ucedt0ttfftdtio�j
Type of ]dent
ificati PC,gYd'""" llolary PObIto -Stale
Commission2020
ins Nov 7,
Commission No. - = My y Assn
Revised 07/15/2014
The forgoing instrument was acknowledged before me
thisay of 20 ZZ by
EV
Q
(Name of person acknowledging )
10,6"� X'Ze�
(Signat f NotaryPublic-State of Florida )
Personally Known A_. OR Produced Ide 't
Type of Identification „.PRIEST
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i Y.""4
Notary ubliC� - stale of Flon &
e F
Commission No. :: C• GG 010740
.. am �
My Comm. Expires Nov 7, 2020
..,.,t untary Assn.
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