HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: a` \b � SCANNED Permit Number:
BY
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- - •-�-�,. St. Lucie COUnty
Building Permit Appi
Planning and Development Services
Building and Cade Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X
PERMIT TYPE: (ow.
Address:
)VEMENT LOCATION
Road, Fort Pierce, FL 34982
Property Tax ID #: 3403-502-0053-000-3
Site Plan Name:
Project Name:
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RECEIVED
FEB 1 0 '070
Lucie County, Permitting
Residential
Lot No. C9 19
Block No.
I DETAILED DESCRIPTION OF WORK . I I
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CONSTRUCTION INFORMATION:
Additio oI work to be performed under this permit— check all that apply:
Mechanical GaassTank _Gas Piping _Shutters endows/Doors
lectric ✓Plumbing _ Sprinklers _ Generator _ Roof Pitch
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Total Sq. Ft of Construction: IJ Sq. Ft. of First Floor:
Cost of Construction: $ 1liJ� 00C. C0 Utilities: —Sewer ✓Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name MBA Business Enterprises LLC
Name:John Jacobs
Address:356 E Midway Rd.
Company:John Jacobs Construction Inc.
City: Fort Pierce State: _
Zip Code: 34982 Fax:
Phone No.
Address:4701 Oleander Ave.
City: Fort Pierce State: FL
Zip Code: 34982 Fax: 772-466-6491
Phone N0772-882-8334
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Maillmiacobs4701@gmail.com
State or County LicenseCBC060421
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
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ISUPPLEMENTALCONSTRUCTION LIEN LAW INFORMATION
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ Not Applicable I BONDING COMPANY: _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 IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
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