HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED q
Date: Permit Number: 0 I.
RECEIVED
Building Permit Application SEP 15 2017
Planning and Development Services PERMITTINGSt. Lucie County. FL
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
17771
PERMIT APPLICATION FOR: Window/door '�'
PROPOSED,IMPROVEM.ENT LrbcATION:;
Address: 1,
Legal Description: i6.12 i 7 7
Property Tax ID#: ? I&O- &16 Lot No. ,:,-?7
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILEDDESCRIPTION OF,WORK:
j_P'Jf0.14
_
.CQNSTRUCTION INFORMATION
Additional work toe nertormed under tispermit-check all Mat appy:
HVAC Gas Tank ❑Gas Piping RShutters Q Windows/Doors
11 Electric 1:1 Plumbing Sprinklers OGenerator FIRoof Roof pitch
Total Sq. Ft of Construction: Sq.L.of First Floor:
Cost of Construction:$ 2-3 207 Utilities: LJ_Sewer 0 Septic Building Height:
OWNER/LESSEE.: CONTRACTOR;
Name 6i2rc1cl,RP-43 't Sherry `Lynn Name: SF?rp_- ;c-1, _Tr_1hrx�2::�
Address:11-201)q t.�r hahCG Company: IZ FKt�y i DrS -Lne
City: State: Address:-/Zp/ 5Ly ?,, -
Zip Code: �3u�i�'� Fax: City: State:-F—Z.
Phone No. Zip Code: . _ Fax:
E-Mail: Phone No. -77R -�3 73 -0&06
Fill in fee simple Title Holder on next page(if different E-Mail: I ;0 i"
from the Owner listed above) State or County Lice e:
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SURP.LE.MENTAL CONSTRUCTION LIEN LAW INFORMATION': '
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:
OWNER/CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permit to do the work and installation as indicated.
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 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 lender or an attorney before
commencing work or recording our Notice of Commencement.
p'- / je'_4
Signature of Owner/Lessee/Contractor as Agent for Owner Signalure of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF S xt-j - Lkc,.e COUNTY OF SAIa_�- Luup
The forgoing instrument was acknowledged before me The for oing instrument w s acknowledged before me
this�day of !EW4- ,20LI by this f�day of 20/Z by
Name of persoy► �aking statement Name of perpmaking statement
Personally Known 7O OR Produced Identification Personally Known wl OR Produced Identification
Type of Identification Type of Identification
Produ'ed Produced
ocomissri
atue of Notary g re of Notary Public-State of Florida#0 Notary Public State of Florida
on No. r° JoBhua 9f )Alber4co Co mission No. .V�
My Commission d0 020879 rlonrykS have to Florida
�i�or r d' Expires 08118/2020 Joshua Shane Alberto
fie' MY es oml ff Od 020879
ExisREVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17
RECEIVED -
6007 PAPAYA DRIVE - - SEP 15 2017
PERMITTING
St.Lucie County, FL
7 6
5
8
LvOP '
t�
9
GARAGE
1 2 3
OPENING - SIZE
1 36X49518 SH
2 36X37318 SH
3 18X62 SH
4 36X49518 SH
5 36X49518 SH
6 71112 X 79 112 SGD
7 36X49518 SH
8 136.X 49 518 SH
9 136X49518 SH