HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ' I� SCANNED Permit Number: I p O l lSl I
BY 7REIVED
�`^ St. Lucie County
Building Permit Application0 2018
i
Planning and Development Services I ST. Lucie County, Permitting
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 C Commercial x Residential
PERMIT APPLICATION FOR: Renovation P1 I I I
Address:
Legal Description: Dixieland S/D-AN unrecorded
Property Tax ID #: 2427-801-0037-000-4
Site Plan Name:
Project Name: Wildar Renovation
Setbacks Front Back:
DETAILED DESCRIPTION OF WORK:
Demo existing walls and replace per plan
f
27-35-40
Right Side:
Left Side:
e
Lot No.1
Block No. 3
CONSTRUCTION INFORMATION
Additional work to be nertormed under tispermit—check all apply:
11HVAC ] Gas Tank ❑Gas Piping ri _ Shutters ❑ Windows/Doors
PElectric I Plumbing 05prinklers E Generator 11 Roof = Roof pitch
Total Sq. Ft of Construction: 5 869 S Ft. of First Floor: —
u w a%1
Cost of Construction: $ 25000; /1(t'Utihties;_ — Sewer Septic
Building Height:
OWNERJLESS E: [
-
RACTOR:
Name t+
Name: ---
Address: i7 2 J I
Company: Liberty Home Builders, Inc
City: q; Li State:FL
Zip Code:34982 Fax:
Phone No. 3 _ _2 I— Q
Address: % �t ON
/c
City: ST? rum/ State:FL
Zip Code: 34994 Fax: 772-324-8578
Phone No. 772-626-3179
E-Mail: `� q4 %%iaM7 t (Artzt`l '(OH^
Fill in fee simple Titie Holder on next page (if different
from the Owner listed above) J�
E-Mail: Jeff@libertybuildergroup.com
State or County License: CGC 1504157
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
,SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION -
DESIGN ER/ENGI NEER: _ Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ 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 r ecord a Notice of Commencement may result in your paying twice for
improvements to your o erty Notl a of Commencement must be recorded obsite
before the first inspe to If y inten to obtain financing, consult with lende or att ey bef re
commenc work o rec rdi our tice of Commencement.
Signature of wner/ Lessee/Contrattor as Agent for Own
Signature of n ractor/Licer)se older
STATE OF FLORIDA II
STATE OF FLORIDA
.. ,,
COUNTY OF �,, LUC��.
COUNTYOF C.• L. )0,1P
The f Ding instrument was acknowledge before me
The r Ding instrument was acknowledge before me
this day of `q 20 by
this day of 20_M by
Ub6e of pers n making statement
✓
a of p rson making statement
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Iden ' on
i L
Type of Identi ' ion
Produced L
Produced
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(Signature of Notary Public- State of Florida)
(Signature of Notary Publ' - tate of Florda )
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Commission No. IELSEN
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Commission No: _� k?staKB NIELSEN
State of Florida -Notary Public
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June 12,
022
Jun
72, 2022 as
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Rev.8/2/17