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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED / //�� 1 _ Date: I n 7 ©'�'� Permit Number: 11060- 0 mum 13 11E�I:f �... Cf Building Permit ApplicationJUS ,) -L �? ���il; Planning and Development Services PE�`/rl��l" Building and Code Regulation Division G St. Lucip- COUnt\', i ._ 2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X PERMIT APPLICATION FOR: Demolition "PROPOSED IMPROVEMENT LOCATION: Address: 6401 S Indian River Dr, Fort Pierce, FL 34982 Legal Description: 12 36 40 THAT PART OF N 100 FT OF FOL DESC PROP LYG E OF FEC RR:BEG AT SE COR OF LOT 1 RUN W 28 CHS, TH N 7.36 CHS, TH E TO INDRIV,TH SLY TO POB-LESS S 225 FT AND LESS RD R/W-(1.91 AC) (OR 3909-386) Property Tax I D#: 3412-123-0001-000-9 Lot No. Site Plan Name: Block No. Project Name: Heizler Residence Setbacks Front 25 Back: 15 Right Side: 10 Left Side: 10 :DETAILED DESCRIPTION'OF WORK: _ Demolish existing structure. Keeping the existing slab. ACONSTRUCTION`INFORIVIATION Additional work toe pertormed under this permit—check a appy: HVAC Gas Tank Gas Piping _Shutters Windows Doors ✓❑_Electric 0 Plumbing Sprinklers 1:1 Generator Roof Roof pitch Total Sq. Ft of Construction: 1,500 S . Ft. of First Floor: Cost of Construction:$ 25,000.00 Utilities:cn Sewer 0 Septic Building Height: OWNER/LESSEE " CONTRACTOR.: Name Terry&Karen Heizler Name: David A.San George,Jr. Address:2800 Boatramp AvenueCompany: Showcase Designer Homes, LLC City: Palm City State:FL Address: 12825 SE Suzanne Drive Zip Code: 34990 Fax: City: Hobe Sound State:FL Phone No.772-233-7059 Zip Code: 33455 Fax: 772-546-8420 E-Mail:heizlernursery@bellsouth.net Phone No. 772-546-5144 Fill in fee simple Title Holder on next page(if different E-Mail: brandi@showcasedesignerhomes.com from the Owner listed above) State or County License: CRC1331112 If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. SUPPLEMENTAL.CONSTRUCTION LIEN,LAW INFORMATION; DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable Name: MK Structural Engineering Name: Address:867 W Eau Gallie Blvd.,Suite 201 Address: City: Melbourne State: Fl. City: State: Zip: 32935 phone: 321-600-0672 Zip: Phone: FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: _Not Applicable Name: Terry&Karen Heizler Name: Address: 2800 Boatramp Avenue Address: City: Palm City City: Zip: 34990 Phone: 772-288-6762 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 before the first inspection. If you intend to obtain financing, consult with lender or an attorney before commencing work or recording our Notice of Commeprement. S SigDdture of ner/Lessee/Contractor as Agent for Owner Signature of Contr ctor/ ce se Holder STATE OF FLORIDA l STATE OF FLORIDA COUNTY OF MRAII n COUNTY OF bn The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this day of "TkA%)e— 20 ] by this day oflAi'�e 20 1� by (Name of pers n acknowledging) (Name of person acknowledging) I MA-Y6 7�'_AIAAA �(4L=== ( Ignature of N taryaPuub ic-State of Florida) (Signa ure of N tary/Publi -State of Florida) / Personally Known v OR Produced Identification Personally Known �/ OR Produced Identification Type of Identification Produced Type of Identification Produced ��4''''•- ORAN Yt� MCNAMARA :��� BRAND CNAMARA Commission No. :�•"�s p�§ Commission No. :�P• `�a: a MY CO ION#GG032190 ; e MY COM ISSI N#GG032190 EXPIRES November 27,2020 o, EXPIRES November 27,2020 Revised 07/15/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS