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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED et Date 1 tit% 1 N1 Permit Number: %1 d t ' o ► a ► RECEI\'r-:D SEP 112017 SCANNED Building Permit Application 13Y Planning and Development Services St. Lucie County 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 PROPOSED IMPROVEMENT LOCATION: ., Address: NI�Q 4 Kinac Hinnv\)n\i Fnr-r P" P.rre-, FL -7,41C145 Legal Description: 1—Ir't V- C Comm rce Nark t onoornln►tam (SM 61,5aa-1-115) Uni+ Goq Prnc�I COR a6g1-i34�> Property Tax ID#: a811- CJon—co,7`)— ova Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTIONi.OF WORK: Dr\i v ll removal, insulation removal, replaccrne_ni- dryvuQ11ii replacernen-r paint, interior door replacement. (ft11 drywall worK ts2'Above floor dueto FIIPINGIJ CONSTRUCTION INFORMATION: itional work to be performed under this Dermit— checker t a 0HVAC L 1 Gas Tank 11 Electric 0 Plumbing Total Sq. Ft of Construction: Cost of Construction: $ 50© > Do Sas Piping U Shutters ❑ Windows/Doors Sprinklers 1:1 Generator Roof Roof pitch _S Ft. of First Floor: Utilities:lSewer Septic Building Height: , OW N ERAESSEE; 'CONTRACTOR: Name Gianola CorporQtlon Name: Michael J. Waldrop Address: 10W1 0rl tnn Place Company: Innovation Contracting, Inc. City: kollNyjoState: Zip Code: 09? Fax: Phone No. qEj L4 — a ly(0- -I al o Address: P.O. Box 12757 City: Fort Pierce State: FL Zip Code: 34979 Fax: NIA Phone No. 772-519-9108 E-Mail: Fill in fee simple Title Holder on next page (if different from the Owner listed above) E-Mail: mwaldrop@innovationcontracting.com State or County License: CGC1511910 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. y, SIfPPt Ili NilaLxCDNS�R�CTiON L(EN LAi%U INRQRMXJJUN .. , e$. _R,. a , ...:a'xa.'s'#. 'Y✓', a. n5 fi6. sm�1.hLs: ;nM"qu'.L'"`d.},{F s, x r c .ram i+�. , 'eY. 3.$.d.'y.> ' �*%"%^—c` DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: Name:"-,� Address: Address: City: State: City: F- State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: _Not Applicable Name: Name: Ad d ress: we;� 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 your property. A Notice of Commencement must be recorded and posted on the jobsite before the fi inspection. If you intend to obtain financing, consult Ith lender or an attorney before commenci work or r9cordingVour Notice of Commencement. atu aofII" her/ Lessee/Contractor as Agent for Owner natu en ctor/License Holder STATE OFLORIDA STA E OFF DA COUNTY Sk. Lac�t COU F S�, Luce The for Ing instrument was acknowledged before me this day of StQ� . 20AI by The forgoing instrument was acknowledged before me this � day of 5� 201 by \ Name f person making statement Name of person making state ent Personally K wn OR Produced Identification Personally Known OR Produced Identification Type of Id ification Type of Identification Produc IL b L- Produced rr U L (Signature of Notary Pub' ta{0,I#Floridaq�NNA IEG c COMMISSION C GG 02202 ignature of Not 'r"J j.. MY ��sQ = fiES: December 16. 2020 COmm16610n No. o'? 'thlww PuhGc Underwi Bonded rC mmISSiOn No. OFANNAMARIE GNENS Y COMMISSI�"0022023 „ei;i�o Notary - EXPIRES: December 16, 202E xw: •�::;01�;"°„e Bonded Thru Notary Pu6lk Undervrtltont REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 8/2/17