HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED `
Date: 3129117 Permit Number:
RECEk-H APR 0 6 2017
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: ReC4 5 [aC.2 t/►t�2t'1- (r•
PROPOSED IMPROVEMENT LOCATION: '
Address: 13413 NW Wax Myrtle Trail, Palm City, FL 34990
Legal Description: Harbour Ridge Plat#1 Lot#7(or 3976-1351; 1361)
r
Property Tax ID#: 4436-601-0007-000-5 Lot No. #7
Site Plan Name: O'Boyle Residence Block No.
Project Name: O'Boyle Residence
Setbacks Front Back: Right Side: Left Side:
[_DETAILED DESCRIPTION OF WORK:
Replace existing skylite at foyer with Impact rated
CONSTRUCTION INFORMATION:
Additional work to be
ne orme under this permit–check a apply:
nHVAC t-1 Gas Tank ❑Gas Piping _Shutters F]Windows/Doors
FlElectric Plumbing Sprinklers F]Generator Fv–/] Roof Roof pitch
Total Sq.Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ �� . Utilities: Sewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Hugh&Marianne O'Boyle Name: (
Address:13413 Wax Myrtle Trail Company: Code Reef Roofers
City: Palm City State:FL Address: 3341 SE Slater Rd
Zip Code: 34990 Fax: City: Stuart State:FL
Phone No.973-495-6542 Zip Code: 34997 Fax:
E-Mail:hoboyle@mac.com Phone No. 772-287-2829
Fill in fee simple Title Holder on next page(if different E-Mail: becca@coderedroofers.com
from the Owner listed above) State or County License: CCC1326574
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTIO LIEN LAW INFORMATION:
DESIGNER/ENGINEER: of Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: . Phone:
FEE SIMPLE TITLE HOLDER: of Applicable BONDING COMPANY: 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 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 jobsite
rst ins ction. If yo tend to obtain financing, consult with lender or an attorney before
before the 9commencin wor r record' ur Noti . of Commencement.
1�/_�//, ()! /'—1 5_1�- — — ///� X"' '/ &�_>—_
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Signature of Ow a/Lessee Contractor as`Agen for Owner Sin ure of Contr ctor/License Holder
STATE OF FLCOUNTY OF ORIDA �I.1 _0 , COUNTY OFSTATE OF �U-4rel
The forgoing instr me t ackn owl edged, efore me The forgoing instrument was acknowledged before me
thisday of 20 by this day of r c.t 20 1-7by
(Name o grsn n acknowle -I;I (Name of pr n acknowledgin
o ,p
(Signature of Notary Public-0
ublic- tate o (Signa re of Notary Public-Sta FI o rida)
Personally Known t/ OR Produce d ion Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced pN�e�oiiUuq�i
Commission No. (Seal 0�,�° Commission No.f= - 1 IJ� �,
Z,Revised 07/15/2014 = EE871345
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