HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION`TO BE ACCEPTED _
Date: 03 MAY 17 Permit Number: -
. .
RECEIVED
Building Permit Application
Planning and Development Services MAY ® 9 2017
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: 3106 SUNRISE BLVD, FT PIERCE,FL 34982
Legal Description: MARAVILLA HTS BLK B S 35FT OF LOT 3 AND LOT 4-LESS S 20 FT-(0.21 AC)(OR 749-411; 1000-270)
Property Tax ID#: 2428-601-0067-000-2 Lot IVo.
Site Plan Name: CHESSER Block No. B
Project Name: CHESSER
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
INSTALL SAME SAME (7) IMPACT WINDOWS
CONSTRUCTION INFORMATION:-
Additional work to be ertormed under this permit—check all appy:
11HVAC Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
Electric 0 Plumbing Sprinklers ElGenerator F] Roof Roof pitch
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 3000.00 Utilities:cn Sewer O Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name DON M CHESSER Name: JON P LEVASSEUR
Address:3106 SUNRISE BLVD Company: DEOCORATIVE CONCRETE
City: FT PIERCE State:FL Address: 1652 SCHLEICHER LANE
Zip Code: 34982 Fax: City: PORT ST LUCIE State:FL
Phone No.772-216-6448 Zip Code: 34984 Fax:
E-Mail: Phone No. 772-216-6171 OR 772-528-5409
Fill in fee simple Title Holder on next page(if different E-Mail: EDEN68@AOL.COM/MMERCAD033-@HOTMAIL.COM
from the Owner listed above) State or County License: CBC 1260973
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
I
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
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 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 recording our Notice of Commencement.
s ';
Sititure ofOwner/Lessee/Contractor as Agent for SigWture of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORID
COUNTY OF COUNTY OF r ,7.
aLLco � woo d
The fo oing instrument was acknowledged before 2�z The forgoing instrument was acknowledged befo
this day of , 20byW z this �! day of 20 l b
QUX
m A keV A
(Name of person acknowledging) � :�;, (Name of person acknowledging) m
,i ,a °s
.N
(Signature of No Public-State of Florida) (Signature of Notary Public-State of Florida)
Personally Known OR r uced Ide tificatiop Personally Known OR RfMLIced Identification
Type of Identification Produced Type of Identification Produced-,A,(Ct - a it
U I
Commission No. (Seal) Commission No. (Seal)
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS