HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �1-oil- 17 SCANNED Permit Number: I7 Oag�1
_tff St. Lucie County
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578
Commercial _Y Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION: -
Address: g'(3 S. Kjnac-,- H", Fnr+ Pierr.P, FL..�4gtiS
Legal Description: First Source Commerce Park Condominium (p(Z oZSo?a— 1-11 �i Un 1+ A— In4
PhASP �I [012..35'10- 141a� q
Property Tax ID It: a31 1 — 1414y6ot 6 / Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
�rL�t�uall r moval +rQp� g�merl�, insulation rw�ovctl ona replacement,
paint, i.mhorcloor repOce WW - CDryLwtl replxemm� up to ar
Bove e ue -b 4xdin ram arm
CONSTRUCTION INFORMATIONS
rtiona wor to a erorme under tispermit—check all apply:
LIHVAC Gas Tank ❑Gas Piping _ Shutters ❑ Windows/Doors
11 Electric OPlumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: ScFt. of First Floor:
Cost of Construction: $ �OOC�. Oy Utilities. nSewer Septic Building Height:
OWNERAESSEE:
CONTRACTOR:'
Name 913 IUngc; LLr
Name: Michael J. Waldrop
Address: 10in t Hunt GUh (lane
Company: Innovation Contracting, Inc.
city: P11L.M f,F.PCIA C:3PgDFQC State: _EL.
Zip Code: 339 I f� Fax:
Phone No.
Address: P.O. Box 12757
City: Fort Pierce State: FL
Zip Code: 34979 Fax: N/A
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.
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DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:
Address:
City: State:
Zip: Phone
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
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
improvemer}Xto your property. A Notice of Commencement must be orded and posted on the jobsite
before theXrst inspection. If you intend to obtain financing, consult th lender or an attorney before
WAr
as Agent
STATE OF FLORIDA
COUNTY OF
511
me
game of person making statement
Personally Kno OR Produced Identification
Type of Identif1 a 10
Produced
(Signature of No Public- State of Florida )
REVI
Rev.
u,1 rFI A M HUFFhemJ
Notary Public - State of Florida
commission 8 FF 234730
REVIEW I REVIEW
Sirture o r License Holder
STATE OFF A COUNTY OF L_Lc'i
me
Name of person making statement
Personally Kn wn OR Produced Identification
Type of Iden i i anion J
Produced / 19
(Signature of Noory Public -State of Florida )
ANGELA M HUFF
Notary Public - State of Florida
MANGROVE
REVIEW
)124 `P 1y