HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED /
Date: / Permit Number: / 07—C )S
RECERVED
-
Building Permit Application JUL 7 2017
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 11
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IIUlPR01/EMENT LOCATIQN .
Address: 4860 River Oak Ln. Fort Pierce, FL 34981
Legal Description: River Oak Estates Lot 30 (0.24 AC) (OR 859-2296)
Property Tax ID#: 2430-502-0030-000-7 Lot No.30
Site Plan Name: Block No.
Project Name: Rocco- 10152527
Setbacks Front Back: Right Side: Left Side:
°' d'
DETAILED DE�CR1PyT10N OFWORK'�l H-01,
replace 10 windows size for size
CONSTR'UCTIQN INFORNIATIORI Y `
Additional work toe e orme under tis permit–checka appy:
11HVAC Ei Gas Tank ❑Gas Piping _Shutters Windows/Doors
11 Electric 1:1 Plumbing Sprinklers Generator Roof
Total-Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 11272.00 Utilities:Sewer[]Septic Building Height:
OWNER%LESSEE TCTOR
r., ._-.. �.,.�.xx CONRA�...
Name Joseph Rocco Name: Raquel Swanner
Address:4860 River Oak Ln. Company: The Home Depot
City: Fort Pierce State:FL- Address: 6500 NW 12TH Ave. Suite 110
Zip Code: 34981 Fax: City: Fort Lauderdale State:FL
Phone No. a Zip Code: 33309 Fax:
E-Mail: Phone No. (754)224-2010
Fill in fee simple Title Holder on next page(if different E-Mail:
from the Owner listed above) State or County License: CGC1514813
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
/
SUa'PLEIJIENTAL CONSTRUCTION LIEN,EAWINFORMATION
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
i 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 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 ou inte to obtain financin nsult with lender or a orney b
c encln work or retd-rcYng yovrNbtice of Comm ceme t.
Signature of n e e Signatu o f ontractor/License Holder
STAT FLORIDA STATE OF FLORIDA
COU OF UN LZ-- COUNTY OF �
The forgoin instrument was acknowledged before ' The for oing instrum�t was acknowledged before me
me thisO I day of �Ul-� 20 17 by this day of JL1L�( 20_17 by
�-�'QU�- �;sl�2Xlr't:� ��''�J�L �✓-c��r1y-CV-
(Name of person acknowledging) (Name of person acknowledging)
J
(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida)
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produce of Identification Produ
TIMOTHY R.O'MALLEY
,Z u ;�1. TIM THY R.O'MALLEY
: `rco mission No. s
Commission No. ("i�OMMISSION#GG 1171 = 5�����A':" p hSSION#GG 117135
EXPIRES:August 7,2021 rg= EXPIRES:August 7,2021
��A• Q� 'A
....o;:'� Banded no -Alhi line'
Thtu No Public Wid %;�ca A P..
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
I o�52s2-�