HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE
Date: 10/10/2019
l
i:TED FOR APPLICATION TO BE ACCEPTED
Permit Number: I ®—
SCANNED REc��D
• St. Lucie Countv
-- Building Permit Application o anyv
Planning and Development Services Qe< \ ��Ae�c��
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial yes Residential
PERMITTYPE: Alteration at condominium
PROPOSED IMPROVEMENT LOCATION: 3150 N A1A501-502 Fort Pierce, FL34949
Address: 3150 N Al AL5011 502 Fort Pierce, FL 34949
Property Tax ID #: 1425-610-0019-000-7
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
Lot No.
Block No.
Building walls to separate unit 501 into original units 501 & 502. Includes electrical per plans and washer box for laundry room
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit - check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters —Windows/Doors
_ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Vernon & Brenda Smith
Name: Joshua Clark
Address: 3150 N Al A Unit 501
Company: Clark Construction Services
City: Fort Pierce State:,_
Zip Code: 34949 Fax:
Phone No. 772- Syda Z/
Address: 1140 43rd Ave
City: Vero Beach State: F
Zip Code: 32960 Fax:
Phone No 772-643-3382
'e/✓1 o, L-
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail josh@clark-construction.com
State or County License CBC1260978
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.
SUPPLEMENTAL CONSTRubT6N
LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _
Name: MBV Engineering
Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Address: 1635 20th St.
Address:
City: Vero Beach State: FL
Zip: 32960 Phone 772-569-0035
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _
Name:
Not Applicable
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, swi ming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
"WARNING TO OW R: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR I ROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED O HE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH -lb LENDER OR —AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMACEMENT "
i
ignatur of Own Lesse Con ra or as Agent for caner
U�2N e 1�0 pu�/X0
Signature of .6ntractor/License Holder
OF FLORIDASTATE OF 2 ` cA i
C UTNTOY OF ORIDA
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The forg� g instrument was acknowledged before me
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The forgoing instrument was acknowledged before me
this � 11 of oJo {fir , 20 It by
this day of r 2!;� 20_15 by
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ings Name of person maktement.
Name of person making statement.
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
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(Signature of Notary bpi fteWic ®Hdaa}tte
(Signature of Notary Public- a of Florida )
My Commission GG 19945
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REVIEWS
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REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.2/7/19