HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Date: n, Permit Number:
SCANNED
_ __ _1111IM BY
INNER St. Lucie County
Building Permit Application
RECEIVED
Planning and Development Services
MAY 11 zola
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 ST..L cie County, Permitting
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Resi nt
PERMIT APPLICATION FOR: Renovation
p era Q .ixtIPROFEMi+1T LfAT tN.
K.64
Address: 4160 N Highway A1A Apt 303A, Fort Pierce, FL 34949
Legal Description: OCEANIQUE OCEANFRONT (OR 2752-1842) BLDG A UNIT 303
Property Tax ID #: 1423-506-0010-000-8
Lot No.
Site Plan Name: Hanford
Block No.
Project Name: Hanford
Setbacks Front Back: Right Side: Left Side:
Kitchen Remodel - Cabinets, Tops, Electrical, Plumbing, Etc
S."v 1 N It FORNiATI < N'
AclClitional work to epedurineu un ertms permit — cneCK a appy:
[1HVAC
Gas Tank Gas Piping _ Shutters
Q Windows/Doors
Z✓ Electric ❑✓_ Plumbing Sprinklers 1:1 Generator
O Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ 18,000 Utilities Sewer OSeptic
Building Height:
Name: Justin Thiery
Name James D Hanford
Address: 4160 N Highway Al Apt 303A
Company: Island Kitchen and Bath
City: Fort Pierce State: FL
Address: 10875 S. Ocean Drive
City: Jensen Beach
State. FL
Zip Code: 34949 Fax:
Phone No. 815-545-8026
Zip Code: 34957
Fax:
E-Mail:
Phone No. 772-678-8219
- 772-237-7348
Fill in fee simple Title Holder on next page ( if different
E-Mail: jthieryikb@gmail.com; nblaszkaikb@gmail.com
State or County License:
CBC1259508
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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DESIGNER/ENGINEER:
_ Not Applicable
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MORTGAGE COMPANY: Not Applicable
Name:
Name: Justin Thiery
Address:
Address:
City:
State:
City: Jensen Beach State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLEHOLDER:
_ Not Applicable
BONDING COMPANY: Applicable
Name:
_Not
Name:
Address: 10875 S.Oman Drive
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 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
gna of Owner/ Lessee/Conffactor as Agent for Owner
STATE OF FLORIDA
COUNTY OF sc Lude
The forgoing instrument was acknowledged before me
this 2_4 day of QI;fS 1 20J7 by
Jctrnes �. ��m1
Name of person making statement
Personally Known OR Produced Identification x
Type of Identification
Produced Drivers License
(Signature of N Public-5ta%of Florida )
(Seal�1ICHMLHAAZ
* W C6MMISSION 0 FF 004140
EXPIRES: July28,2019
REVIEWS I CFRONT
RON W S REVIEWOR NG
Rev.
STATE OF FLORIDA
COUNTY OF st wde
The forgoing instrument was acknowledged before me
this 2f day of I 201g by
Justin Thiery
Name of person making statement
Personally Known x OR Produced Identification
Type of Identification
M
t MY CO FF904140
EXPIRES: Juy 2B, 2019
VEGETATION I SEATURTLE MANGROVE
REVIEW REVIEW REVIEW