HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE CC ,LETED FOR APPLICATION TO BE ACCEPT�b
Date: t9 Permit Number:
SCANNED
BY
L. LUCle County 011 1, 'e ,,
Building Permit Application CP
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 Residential
PERMITTYPE: -t:;7mA
J�PROPOSED IMPROVEMENT LOCATIM,
Address: 3870 & 3880 N HIGHWAY AIIA FT PIERCE FL
Property Tax ID #: 1423-805-0000-000-3 Lot No.
Site Plan Name: HIBSCUS BY THE SEA CONDOMINIUM Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
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I'CONSTRUICTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
—Mechanical GasTank — Gas Piping — Shutters —Windows/Doors
— Electric Plumbing —Sprinklers — Generator — Roof Pitch
Total Sq. Ft of Construction: — 10 1+ Sq. Ft. of First Floor: Allq
Cost of Construction: sfZ,% hrp Utilities: —Sewer _Septic Building Height:
MNER/1-ESSEE-
CONTRAUOR:
NameHIBISCUS BY THE SEA CONDO ASSOC
Name: MICHAEL J WALDROP
Address: 1111 SE FED HWY STE 100
Company.- INNOVATION CONTRACTIN G INC
City: STUART State:
Zip Code: 34994 Fax:
Phone No.
Address: PO BOX 12757
City: FT PIERCE State:fl
Zip Code: 34979 Fax:
PhoneN0772-519-9108 /*,T3'Y"-*3q:Q20kM
E-Mail:
Fill In fee simple Title Holder an next page I if different
from the Owner listed above)
E-Mail mwaldrop@innovation66�ntiacti'n-'g-.com
State or County License CGCII51191 0
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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DESIGN ER/ENGINEER:
Name:
Not Applicable
MORTGAGE COMPANY:
Name:
L,'�Not Applicable
Address:
Address:
City:
Zip: Phone
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
��Not Applicable
BONDING COMPANY:
Name:
__�<ot 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 FORP)IPROVEMENTS TO YOUR PROPERTY. A NOTICE OF M ENT MUST BE RECORDED AND
COM
POSTED 9"HE JOB SIITE BEFORE THE FIRST INSPECTION. IF YOU 1 0
OBTAIN FINANCING, CONSULT
WITH YCWR LENDPR-PR AN ATTORNEY BEFORE RECORDING YOUR OF C OMMENCEMENT."
N I , X� .1-e
X-enature 9PID e Crint')i1actor as Agent for Owner Sign or/License H-OW@f
STATE OF FLOR'��r STATE OF FLORIDA
COUNTY OF �,U("Af COUNTY OF ;5 T
The for oing instrument was acknowledged ' before me The forgoing instrunLent was acknowledged before me
this ryl day of 20Af b this t 2- day of 201� by
�1�
Mje,��( 3% W.41J(toe wickka 'T uxdjvp
Name of person making statement. � Name of person making statement.
Personally Known OR Produced Identification
Type of Identificatitn
Produced
of Notary Public- State
No.
REVIEWS
)AMES A. WETHINGTON, jR.
Notary Publio� State of Floft
COUNTER I REVIEW
Personally Known 11(<:7 OR Produced Identification
Type of Identification
of Notary Public- State of Fl6rida )
No.
PLANS � VEGET7M
REVIEW REVIEW
IR(aws". JP
State of Flodda
REVIEW I REVIEW