HomeMy WebLinkAboutPERMIT APPLICATION - 13827 S INDIAN RIVER DRIVE UNIT 39 - 07-31-2017ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: r`-2 �la_ Permit Number:
- � _ _
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Port Pierce FL 34981
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSEDIMPROVEMENTLOCATION:
Address: J Indan 1,,jD1"'1ye Unit 13(
Legal Description: LN<E I-(/n+C)� E�'P�-T,ve
Property Tax ID #: `l'_`X-N — 0 U ~4 L �"1 U111,) — .tr
Site Plan Name: Ian RNey- D''i'
Project Name: AC
Setbacks Front Back: Right Side: Left Side:
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK:
s S -"e n 3 ionS 14- �. "� V -vu dCt,-'ae Unit. (T)"C
CONSTRUCTION INFORMATION:
Additional work to be r)ertormed under t ispermit — c ec a appy:
®HVAC Gas Tank Gas Piping Shutters E]Windows/Doors
Electric ❑ Plumbing Sprinklers 1 Generator 1:1 Roof Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $
S Ft. of First Floor: _
Utilities:Cn Sewer 11 Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name
Name: l
Company: MAxhp, 6R Cnet I
Address: Z+ S ,
City: Stater
Zip CodAe: -q 5 Fax:
Phone No. ski<10_7L2'2_
Address: sw biltmore - N e
City: "1y ~ - State:
Zip Code: 5�Ig19q Fax.
Phone No.q,
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the owner listed above)
E -Mail:
State or County License: rA 1,060L3 .
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
FRONT
DESIGNER/ENGINEER: - Not Applicable
Name:
MORTGAGE COMPANY:
Name:
X Not Applicable
Address:
Address:
MANGROVE
City: State:
Zip: Phone:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: X Not Applicable
Name:
BONDING COMPANY:
Name:
iXNot Applicable
Address:
Address:
DATE
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. If you intend to obtain financing, consult with le9der or an attorney before
commencine work or recordinalvour Notice of Commencement. !1 I
_ Signature of
STATE OF Fl.
COUNTY OF
The forgoing instrument was acknowledgey efore me
this day of 20 y
Go1�EMII
me Operson nowledging j
Notary Public- State of Florida )
Personally Known .-_... OR Produced Identification
Type of Identification Produced
Commission NO�CrML l��,* 5 1SS10N#FF914194
RE3( IBES: Aug%130, 2019
IO Bonded Thru @udgei Neta y Senkes
Revised 07/15/2014
Signature of
STATE OF FLORIDA' '
COUNTY OF
The forgoing instrument was acknowledged before me
this day of 20 A. 7 by
C
;lUu_
�P}a o p son.a gbtledging j
of Notary Public- State of Florida )
dally Known X OR Produced Identification
of Identification Produced
r� �' AMIARISISAMLGIL
Commission No?<T �%� # e*kCOMISSION#FF 914
EXPIRES: August 30,20
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS