HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE FO M S T BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: SCJ
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:
PROPOSED IMPROVEMENT LOCATION:
Address: 5309 Myrtle Drive
Legal Description: Indian River Estates -Unit 07- BLK 48 LOT 44 (MAP 34/025)
Property Tax ID #: 3402-608-0300-000-2 Lot No. 44
Site Plan Name: Block No. 48
Project Name: Marianne Nevoso
Setbacks Front Back: Right Side: Left Side:
'I
DETAILED DESCRIPTION OF,WORK:
Remove and replace stucco on lower ' on North side of home
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CONSTRUCTION INFORMATION:
CONTRACTOR: {;
a.
Name: Alan Blandford
Additional work to be nertormed under this permit— check
Gas Tank Gas Piping
a
appy:
Shutters
City: Fort Pierce State: FL
Windows/Doors
Zip Code: 34982 Fax: N/A
Phone No. 772-595-9214
HVAC
E -Mail: N/A
Phone No. 772-460-9457
Fill in fee simple Title Holder on next page ( if different
E -Mail: Bluewatertinishingllc@gmail.com
_
State or County License: 23293
Electric O Plumbing
OSprinklers
Generator
❑ Roof Roof pitch
Total Sq. Ft of Construction:
S. Ft. of First Floor:
Cost of Construction: $ 3,100.00
Utilities: L__I
Sewer
O
Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR: {;
Name Marianne Nevoso
Name: Alan Blandford
Address: 5309 <yrtle Drive
Company: Bluewater Finishing, LLC
Address: 5814 Seagrape Drive
City: Fort Pierce State: FL
City: Fort Pierce 1 State: FL
Zip Code: 34982 Fax: N/A
Phone No. 772-595-9214
Zip Code: 34982 1 Fax: 772-466-6116
E -Mail: N/A
Phone No. 772-460-9457
Fill in fee simple Title Holder on next page ( if different
E -Mail: Bluewatertinishingllc@gmail.com
from the Owner listed above)
State or County License: 23293
If value of construction is $2500 or more, a RECORDED Notice of Commencement is requ
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:,,
FRONT
' a
DESIGNER/ENGINEER: x Not Applicable
Name:
MORTGAGE COMPANY:
Name:
Address:
City:
Zip:
Phone:
X Not Applicable
Address:
City: State:
Zip: Phone:
State:
REVIEW
FEE SIMPLE TITLE HOLDER: X Not Applicable
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
I
x Not Applicable
REVIEW
REVIEW
DATE
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 covenants1that 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 reviei
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to
WARNING TO OWNER: Your failure to Record a Notice of Commencement may resp
improvements to your property. A Notice of Commencement must be recorded
before the first inspection. If you intend to obtain financing, consult with lender
commencing work or recording vour Notice of Commencement.
Signature of Owner/Lessee/Contractor as Agent for Owner
STATE OF FLORIDAn I
COUNTY OF
The fo oing instrum nt was acknowledged b fore me
this day of20 by
/ y aN,� c).mLQ L-evaz)d
ar,pe of person acknowledging)
(Signature of Notary P /Iic-State o lorida )
Personally Known i/ OR Produced Identification
Type of Identification Produced
STATE OF FLORIDA
COUNTY OF
The forgoing instrument was
this,41— day of%+JA
F
(Name of person acknowl
I -,PJ ' atv
(Signature of Notary Public -
Personally Known _
Type of Identification
Commission No`��l CST
C Commission No.
Y PUBLIC
OF FL
Revised 07/15/2014
Expires 8114!2020
: room additions,
;other non-residential use
t in your paying twice for
ind posted on the jobsite
)r an attorney before
adged before me
20 /7 by
I
;tate of Florida )
R Produced Identification
(Seal)
WILLIAM J. CASEY
Commission 8 GG 047529
My Comm. Expires Nov 15, 2020
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ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTL
ATq G_R OTJf
COUNTER
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DATE
COMPLETE
INITIALS