HomeMy WebLinkAboutBuilding Permit Application II
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 1
Date: Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
t
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
PFJPOSED,IMpROVEMNT LQCAflC!! ..
Address: 103 EDEN CREEK LANE ,JENSEN BEACH FL
Legal Description: OAKS AT INDIAN RIVER LOT 3(OR 1939-786; 3101-1243)
Property Tax ID#: 4509-807-0006-000-3 Lot No.
Site Plan Name: PRYLES Block No.
Project Name: PRYLES
Setbacks Front NIA Back: NIA Right Side: N/A Left Side: N/A
3DI:�TAlL�d�DESCfiI T�zlC�1N �F WORK � � NE� g���y '��
x�
DOOR REPLACEMENT / 1 OPENING / FRENCH DOOR/ FRONT DOOR/IMPACT
W.
CQNST.R.:U, sCTIQN lNQRMATIQ, �M.n,.. e {:h £ t „ .F
- a
ly
r.
Additionalwork tone e orme under this permit—check a appy:
❑HVAC El Gas Tank ❑Gas Piping _Shutters Windows/Doors
❑Electric ❑Plumbing []Sprinklers ❑Generator ❑ Roof Roof pitch
Total Sq. Ft of Construction: SFt.of First Floor: X
Cost of Construction:$ 2400.00 Utilities: Sewer❑Septic Building Height:
01C\1�R/LESE�» � �
„i 7 -k_.
Name PATRICIA D PRYLES Name: MICHAEL GOODWIN
Address: 103 EDEN CREEK LANE Company: JENSEN BEACH ALUMINUM
City: JENSEN BEACH State:FL Address: 1720 NW FEDERAL HWY
Zip Code: 34957 Fax: City: STUART State:FL
Phone No.772-229-6266 Zip Code: 34994 Fax: ,692-9744
E-Mail: Phone No. 692-0090
Fill in fee simple Title Holder on next page(if different E-Mail: MICHAELLGOODWIN@YAHOO.COM
from the Owner listed above) State or County License: CGC 1508437
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
I
!i
I,
I
,$ $ WRI
SUPRLEME1Tl.CONSTRICTION LIEN 1AW
4.. Ft'.<
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 requestled 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.
i.
The following building permit applicatlonp are exempt from undergoing a full concurrency review:room additions,
accessory structures,swimming pools/4 s,walls,signs,screen rooms and accessory uses to another non-residential use
WARNING ytou
R: ur it r o Record a Notice of Commencement ma esult in y r paying twice for
improve r ro r otice of Commencement must re ,ded a o to on the jobsite
before e fdo . If tend to obtain financing, cons t i nder r' t rney before
com enci r or i ur Notice of Commencemen .
i
S
Signature of Owner/Lesse or as Agent for O Signature of Contractor t nse Holder
I
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ;T .0 UGddF COUNTY OF S T .C.oal4
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
thi- , ay of T(1X)G 20/2by thi.AP2' fly of W0?�.� 201 by
(Name of person acknowledging) (Name of person acknowledging;)
(Signature of Notary Public-State of Florida) (Signature otary Public_-State o�orida)
Personally Known_�OR Produced Identification Personally Known ✓ OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. ?:r'e ($ N9 .GAUMOND I Commission No. ; GAUMOND
%:,.: . MY COMMISSION#FF 173907 *; i:, MY COMMISSION#FF 173907
>•=w o� EXPIRES:December 7,2018 ;� ,.P EXPIRES:Dec
t3onded I hru Notary iUbis n of„ .° on ed Thru Notary Public Underwriters
Revised 07/15/2014'
II
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION i;SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
_ INITIALS