HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: I z-91— 17 Permit Number: 1-7 oq - 63691
SCANNED
—__- BY
Building Permit Application St. Lucie county
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
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ERMITROAPPLICATION FOR: To Select from dropbox, click arrow at the end of linePOSED]MPROVEMENT LOCATION:
Address: Fzi cs. KJngo, fli1II F Q P(PXCPl FL 34�145
Legal Description: First Source Commerce Park Condominium f nR a6aa — n IS 1 i in a a— ins
ph�SP `1 (89 R"(-1Fi— Itia;:�,)
Property Tax ID #:
Site Plan Name:
Project Name:
Setbacks Front Back:
LED DESCRIPTION.
IT
Right Side: Left Side:
Lot No.
Block No.
Drywa removal and replace mt, insulation removal aw replaeei
painfi, inwior door replacP_nWt. CID rywall replacement up to aI
CONSTRUCTION INFORMATION:
11HVAC LJ Gas Tank E]GasPiping
11 Electric 0 Plumbing Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ (' 0. 00
Shutters
Generator
S Ft. of First Floor: _
Utilities: Sewer ElSeptic
Windows/Doors
Roof Roof pitch
i
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name DQVIU CJQriUS
Name: Michael J. Waldrop
Address: atpS SF TOdd Auwnti_P
Company: Innovation Contracting, Inc.
City: Pnr+ St• wci a State:
Zip Code:Fax:
Phone'No.
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.
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DESIGNER/ENGINEER: _
Name:
Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City:
Zip: Phone '
State:
City: State:
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _
Name:
Not Applicable
BONDING COMPANY: _Not Applicable
Name:
Address:
Address:
City:
Zip: Phone:
City:
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
improvemeW9to your property. A Notice of Commencement must be eorded and posted on the jobsite
before th rst inspection. If you intend to obtain financing, consult th lender or an attorney before
:ygnature o neryeryv y cess mracror as Agent ror vwne
STATE OF FLORIDA ��� %
COUNTYOF c S� L LSL,�
before me
day of
c
Name of person making statement `
Personally Kno OR Produced Identification
Type of Identifi a ioJt
Produced
Aw"'a
(Signature of Notley
Public- State of Florida )
anir-ai n M HUFFPeaq
Notary Public - State of Florida
Commission # FF 234730
I� -6UPERVISOR
EW REVIEW
Rev.8/2/17
7Z°c p� J 2 9p l 8 --POb _
STATE OF F61116A ) r
COUNTY OF L
me
'Name of person making statement
Personally Kn wn OR Produced Identification %"
Type of Iden ifi ajion
Produced / V::;/_ ' A
(Signature of Noury Public- State of Florida )
AnuELA M HUFF
Notary Public - State of Florida
MANGROVE
REVIEW