HomeMy WebLinkAboutBuilding Permit Application i
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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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 X Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
.PROPOSED IMPROVEMENT.LOCATION: ! ,�
Address: 3030 Woodswalk Drive p`+— ?'ferLQ FL" 1_t45--
Legal
5--Legal Description:
Property Tax ID#: pc 3,2 w — (D o 0 d eq e!:) 1— Q O<0 (n Lot No.
Site Plan Name: Creekside Parcel A Block No.
Project Name: Creekside
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF,WORK.
Replace Lift Station Control Panel with new updated panel. Service size to remain the same.
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CONSTRUCTION `INFORMATION: ;!
Additional work to be Derformed under tispermit—check all h appy: f
HVAC Gas Tank Gas Piping In Shutters ❑Windows/Doors
Electric ❑ Plumbing Sprinklers 11 Generator E] Roof Roof pitch
Total Sq. Ft of Construction: S . Ft. of First Floor:, I
Cost of Construction:$ 2,350.00 estimated cost Utilities: Sewer Septic Building Height:
OWN ER/LESSEE:D.R Horton-East Coast Division ;.CONTRACTOR j
Name Dan Liparini Name: Thomas E.Granims
Address:1430 Culver Drive, NE Company: Paragon Electric of Vero, Inc.
City: Palm Bay State:FL Address: 9120 16th Place
Zip Code: 32907 Fax: City: Vero Beach State:FI
Phone No.321 953 3135 Zip Code: 32966 Fax: 772 399 5167
E-Mail:djliparni@drhorton.com Phone No. 772 569 8961
Fill in fee simple Title Holder on next page(if different E-Mail: paragonelectric@bellsouth.net
from the Owner listed above) State or County License: EC0002731
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. f
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SUPPLEMENTAL CONSTRUCTION. LIEN, LAW INFORMATION: . i! 'F � {
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 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.
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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. !i
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Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OFr. 1.yc COUNTY OF �,d 4 yew
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this'4.'.\,day of Mn 20 11by this I_day of May 20 11 by
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Pub ic-State of Florida) (Signature of Notary Public-State of Florida)
Personally Known OR Pro uced Identification ZeAnall own �,/ OR''Produced Identification
Type of Identification Pro ri Type of Identification;Produced
DEANNA MARIE
GIVENb gin• ` ,•••Nn•ny
Commission No. ,eA' 1
My Commission No. ...." •:KRISTEN BRE II
EXPIRES:De mbar 16,2020 mission# 4189
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•'%rF••••�o Bonded 7hru Notary Public llndenxrilers ;1. ;,;Expires November 9,2020
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Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS j
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