HomeMy WebLinkAboutBuilding Permit Application (2) ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: ' 0
Building Permit Application
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 X
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: 201 Jenkins Road, Fort Pierce, Florida 34947
Legal Description: 12 35 39 W 90.8 FT OF E 123.8 FT OF N 160 FT OF S 190 ST OF S 1/2 OF NE 1/4 OF NE
1/4 OF SW 1/4(0.33 AC) (OR 2602-2557)
Property Tax ID#: 2312-411-0012-000-3 Lot No.
Site Plan Name: 201 Jenkins Road Block No.
Project Name: 201 Jenkins Road
Setbacks Front Back: Right Side: Left Side:
[DETAILED DESCRIPTION-OF WORK:
Complete demolition to include house, slab, footers. Pump and removal of septic tank.
Property to rough graded where items were removed.
CONSTRUCTION INFORMATION:
Additional work to be nertormed under t ispermit—check all appy:
HVAC Gas Tank E]Gas Piping _Shutters Q Windows/Doors
11 Electric Plumbing []Sprinklers E]Generator Roof Roof pitch
Total Sq. Ft of Construction: 1,260 SFt. of First Floor: 1,260
Cost of Construction:$ 2,450.00 Utilities: Sewer E]Septic Building Height: one
OWNER/LESSEE: CONTRACTOR'.
Name west ofTowners LLC Name: Randle Beckford
Address:5500 Orange Avenue Company: L.E.B. Demolition &Consulting Contractors, Inc.
City: Fort Pierce State:FL Address: 7 Harbour Isle Drive East 204
Zip Code: 34947 Fax: City: Fort Pierce State:FL
Phone No.772-464-7404 Zip Code: 34949 Fax: 772-461-2225
E-Mail: Phone No. 772-461-4545 Mobile 772-216-1286
Fill in fee simple Title Holder on next page(if different E-Mail: iwreckn@aol.com
from the Owner listed above) State or County License: 26948
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: s
DESIGNER/ENGINEER: X Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: X Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie Counter 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
bef9re,the first inspection. If you intend to obtain financing, consult with lender or an attorney before
c mme cing work or recording our Notice of Commencemqdf.
s
Signature of O ner/Lessee/Contractor as Agent for Owner Signat re of Co for/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OFSAINTLUCIE COUNTY OFSAINTLUCIE
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this21st.day of December20 Afiby this 21ST day of December 20 JA by
Randle Beckford l ALJA)J1� &C�4 rj Randle Beckford
(Name of person acknowledging) (Name of person acknowledging)
CA/-- - a�16--r'�
0,L41 A;t� L
(Signa re of Notary Public-State of Florida) (Signature of Notary Public-State of Florida)
Personally Known x OR Produced Identification Personally Known X OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. PATRICI kLO
E Commission a� I)
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Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS