HomeMy WebLinkAboutBuilding Permit Application VAPPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED i d / W -1�n(�
Date: Permit Number: 1 lob( • (O
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
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
RR®POSED INIPROVEIVIENT LOCATION # ars r
Address: 211 NE Lobster Rd.
Legal Description: River Park-Unit 9-Part B Blk 77 Lot 12 (Map 34-28N)(OR 2231-2962: 2669-833:2744-1560)
Property Tax ID#: 3419-565-0051-000-3 Lot No.
Site,Plan Name: Block No.
Project Name: Refford-9841734
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION QF WORK
z
replace 8 windows size for size
CCiNSTRUCTION INfORMA1"IONAS
Additional work to be nerformed under this permit-check allt a appy:
HVAC Gas Tank []Gas Piping _Shutters ❑Windows/Doors
Electric ❑ Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction:$5053.00 Utilities: Sewer']Septic Building Height: Y
01NER/LESSEE x* 3 ' CONTRACTOR
Name Re6kq ,_ "<_ Name: Raquel Swanner
Address:211 NE Lobster Rd. Company: The Home Depot
City: Port St Lucie State:FL. Address: 6500 NW 12TH Ave. Suite 110
Zip Code: 34983 Fax: City: Fort Lauderdale State:FL
Phone No. Zip Code: 33309 Fax:
E-Mail: Phone No. (754)224-2010
Fill in fee simple Title Holder on next page(if different E-Mail:
from the Owner listed above) State or County License: CGC1514813
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
s�t1PPLElVIENTAL CO.,NSTR.UCTION LIEN LA11t/ INFC)RMATT,,I6k, h r
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: 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 thepermit 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
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recordipg yqur Notice of Commencement.
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Signat re ofIRIDA
Age gnatu o ntra or License older
STATE OF FL STATE LORIDA
COUNTY OF COUNTY OF
The forgoing instrument was acknowledged before The forgoing instrument was acknowledged before me
me this I— day of 1'n& 20 17 by this 2--day of kA lit r' 20_17 by
l f��jLl1/� �W A.rv�' �Q iL'INL� Ste✓A✓t..►s�
(Name of person acknowledging) (Name of person acknowledging)
(Signature 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. mission No. (Seal)
TIMOTHY R.0:110ALLEY
TIMOTHY R.O'MALL_EY
MY CCYAMISSION,#FF 04279FIll
-�' Via,: REQ:August 7,2017
pf nq Bonded Thru Notary Public Undenvrlters 42794
=s'.- o' EXPIREC:August 7,2017
Revised 07/15/2014 1 Bonded Th u Notary public Underwriters
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS