HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MU BE Cp1 S � P6 ETED FOR ApT1QN To BE CCE
Date: E PTED
D PermNumber
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_X Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSEDIMPROVE MENT LOCATION
Address: R6565 ',Snu-ih K:%QQS HI -0 + FO1rt' P l CWT-, El, ALP "I )
Legal Description: First Source Commerce Park Condominium (02, Qs5cDQ—l—I15) Un l% 11;i)OR
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Property Tax ID#: — Site Plan Name:
Project Name:
Setbacks Front Back: Right Side: Left Side:
Block No.
(' DETAILED DESCRIPTION`'OF WORK:
Dry Wall removed and re(olaced, iasula`h•on removed and repi cea,
paint, ini-Wordoor replacemant° (DrLjlwall replacmkm up tc•a'a»ovE
Moor due io %cCirq from Irma.)
.CONSTRUCTION -'INFORMATION:
11HVAC L 1 Gas Tank Gas Piping
11 Electric 1:1Plumbing Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 4,5; X=.C)O
Shutters Windows/Doors
Generator Roof = Roof pitch
So. Ft. of First Floor: _
Utilities: Sewer Septic
Building Height:
OWNER/LESSEE
CONTRACTOR:
Name ShOIDUCin I_ tir—
Name: Michael J. Waldrop
Address: —I Ili 2eL gstAs Dtr i ve
Company: Innovation Contracting, Inc.
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City: �i � E'_Ir,3 State!FL
Zip Code: - �S:73q :1-1 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: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
Name:
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
improveme to your property. A Notice of Commencement must beJAorded and posted on the jobsite
before theArst inspection. If you intend to obtain financing, consult th lender or an attorney before
as Agent for Owner
STATE OF XL
COUNTY OF
The for oing instrum nt w ac cnowledg before me
thi day of 201I by
c
ame of person making statement
Personally Knovyn OR Produced Identification
Type of Identifi a io/f
Produced
(Signature of Not
a Public -State of Florida )
REVI
DATE
Rev.
uA rFI A M HUFRI edrl
Notary Public - Slate of Florida
Commission # FF 234730
REVIEW
STATE OF FC6RiIIA ) +
COUNTY OF
me
'Name of person making statement
Personally Kn wn OR Produced Identification %
Type of Iden Ifi ajion /
Produced
(Signature of No�ry Public- State of Florida )
ANGELA M HUFF
Notary Public - State of Florida
MANGROVE
REVIEW