HomeMy WebLinkAbout270 NE Mainsail StALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
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
— yl_
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: �~ c �` .i
Legal Description: i nC11L U�t}
Property lax ID ##: -t _ Qat L
Site Plan Name:
Project Name:
Setbacks Front Back: Right Side: Left Side: _
DETAILED DESCRIPTION OF WORK:
CONSTRUCTION INFORMATION:.
Additional war to e e arms un er t is permit — c ec a t appy:
HVAC 0 Gas Tank OGas Piping _Shutters
❑ Electric n Plumbing ❑ Sprinklers ❑ Generator
Total Sq. Ft of Construction:
Cost of Construction: $
OWNER/LESSEE:
Name L-- \02
Address:
City: State:.
Zip Code: �Q Fax:
Phone No.�
SCI. Ft.
of First Floor:
Utilities: [] Sewer ❑ Septic
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR:
Name: JOSEPH TULLY
Lot No.
Block No.
❑ Windows/Doors
❑ Roof = Roof pitch
Building Height:
Company: GENESIS PLUMBING SERVICES
Address: 1902 SE BOLTON AVE
City: PORT ST LUCIE
State: FL
Zip Code: 34952 Fax: 772-335-2680
Phone No. 772-337-3682
E -Mail: Genesisplumbingservices@gmaii.com
State or County License: CFC1429103
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: _
Address:
City: —
Zip:
Phone.
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:
State:
Not Applicable
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
Not Applicable
State:
Not Applicable
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 Horne Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, l 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 your Notice of Commencement.
Signature of Owner - se-7Contractor as Agent for Owner
STATE OF FLORIDAt,
COUNTY OF _'_+
The forgoing instrument was acknowledged before me
this _-3 day of �a20 Jnby
(Name of person acknowledging)
(3, - ;t
(Signature6f Notary Pubk & State of Florida) "
"*••'j PrrftRSbtslid�ek#Pi�X
Personally Known ..*
Type of Identlficati commission # GG 9715❑
sor :e' y ommissrnn i
Commission No. Aprl 24 2021
Revised 07/15/2014
REVIEWS FRONT I ZONING
COUNTER ` REVIEW
DATE
COMPLETE
INITIALS
ure of Contra
STATE OF FLORIDA `, 't ,
COUNTY OF ''J�"n e. -
The forgoing instrument was acknowledged before me
this day of !l �� Zu ]a by
(Name of person acknowledging) 4
(Signature of Notary Pub§ic- State of Florida }
Personally Known ":fj3Jt Prcgk{njAgAZ
Type of Identificati _# o Commission # GG 97156
My Commission xPua
ata
(` 'r+�iffOr}id. APrI1
Commission No. "Illnk�
SUPERVISOR 1. PLANS VEGETATION SEATURTLE MANGROVE
REVIEW I REVIEW REVIEW REVIEW REVIEW