HomeMy WebLinkAboutBuilding Permit Application V O o Cl� r
SUPPLEMENTAL CONSTRUCTION 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.TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip:. Phone: Zip: Phoney
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 approvedplans,'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
before the first i pection. Ifyou intend to obtain financing,con ult wi lender-or an attorney before
commencing wor or orclingVour Notice of Commencement.
IT._. s
Signature of Owner/Les /Contracto as Agent.for Owner Siglmture of C ntractor/License Holder
STATE OF FLO STATE OF FLORIDA �A l
COUNTY OF 1Vyt^� "tv1 COUNTY OF" !"tG�:K
The forgoing instr nt was acknowledged before me The forgoing nstru�m nt was•acknowledged before me
this day of ��tC� ✓ 20i Uy this of ,Ani .0!Iy20 17 by
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. t�..i'ue s �-. (may��,.•�
(Name of person acknow ) (Name of person acknowledging)
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(Signature of Notary Pu !ic-State of Florida tS5gnvAure ofNotary Public-State of Florida)
PersonallyKnown OR Produc d.ldentification Personally Known OR ProducedIdentification
L�
;Type of Identificationi Produced ��L--` Type of Identification Produced
Al
Commission No (Seal) Commission No. �N -
`; 10ANDA,PiItKST0N�SX80`
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. ;'p��.;,� ota Public•St®ie-0fftb"rids
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Notary Public•St3tg of Florida
Revised 07/15/2'• ° Commisslodip:fF OS3587
Aly Comm Explr>ts fAay t.2017 ` '
mmission
REVIEWS 'FRONT ZONING U E l 0 PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE'
INITIALS
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: =9- /7 Permit Number: / Q�q {�V/y(�Jp
'1 W"'- 4J VI
1
01
- Building Permit Application FEB / 1 2017
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: Window/door
PROPOSED°IMPROVEMENT LOCATION: - -
Address: 9435 S Ocean Dr 8B
Legal Description:
Property Tax ID#: 3535-334-0003-300-2 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION-OF-WO-RK:
Remove and replace single front door unit ( same for same, no size.change ) 6-panel Impact
fiberglass prehung door.
CONSTRUCTION INFORMATION:
Additional work toe e Orme under this permit—check a appy:
HVAC fn Gas Tank DGas Piping _Shutters ✓❑Windows/Doors
❑Electric ❑ Plumbing ❑Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 1010.00 utilities: Sewer E]Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Liane V Connors Name: James Walton
Address: 9435 S Ocean Dr Apt 8B Company: Creation Builders Inc
p
City: Jensen Beach State: FI Address: 2613 Dyer Rd
Zip Code: 34957 Fax: City: Port Saint Lucie State: FI
Phone No. Zip Code: 34952 Fax:
E-Mail: Phone No.
Fill in fee simple Title Holder on next page (if different E-Mail: waltoniames@beilsouth.net
from the Owner listed above) State or County License: CGCO55872
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.