HomeMy WebLinkAboutBuilding Permit Application i
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �1
Date: �Q' �' ) 7 Permit Number:
Building Permit Application RECEWED
Planning and Development Services OCT 16 2017
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: To Select from dropbox, click arrow at the end of line
PROPOSED`IMPROVEMENT LOCATION
Address: 9440 Meadowood Dr. Unit 101
Legal Description: Quail Run Village Bldg 2 Unit 101 (OR 3280-1646; 3780-1531: 3984-1589)
Property Tax ID#: 1327-703-0013-000-9 Lot No.
Site Plan Name: Block No.
Project Name: Terry- 10403892
Setbacks Front Back: Right Side: Left Side:
D�ETAILEO DESCRIPTION OF 1l�IORK
.., .`
replace 4
windows size forsize710.0
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Additional
INFORMATION _ `
itiona work to be nerFo—rmed under t ispermit–check all appy:
HVAC Gas Tank Gas Piping _Shutters Q Windows/Doors
Electric 0 Plumbing Sprinklers El Generator E] Roof
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 6686.00 Utilities:Cn Sewer D Septic Building Height:
n flNTRACT�R
Name Elizabeth Terry Name: Raquel Swanner
Address:9440 Meadowood Dr. Unit 101 Company: The Home Depot
City: Fort Pierce State:FL Address: 6500 NW 12TH Ave. Suite 110
Zip Code: 34951 Fax: City: Fort Lauderdale State:FL
Phone No. 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.
SUP'PLEMEN � I
TAL CO�tSTRl�CT10N LI:EI LAW lNORMATION "{
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:
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 t tain financin ult with lender or an torney b
c encin work or recor i our tice of Co cement.
Si ature o n gen a ee Signature f Contrac r/License Holder
STAT FL IDA STATE OF FLORIDA
CO OF COUNTY OF
The forgoing instrument was acknowledged before The forgoing instrument was acknowledged before me
me this too day of QC,T . 20 17 by this',day of 00 ,20_17 by
r--
(Name of person acknowledging) (Name of person acknowledging)
.R._.t--
(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 Produced Type of Identification Produced
Commission No. (Seal) Commission No. (Seal
,�`<.:„':''' TIMOTHY R.O'MALLEY QYp;
pY PU .,, otr `TIMOTHY R.O'MALLEY
=ter 'i MY COMMISSION#GG 117 =*: ; _ my COMMISSION It GG 117 135
Revised 07/15/2014 '-"�F EXPIRES:August 7,2021 qr oP`� EXPIRES:August 7,2021
'a°;,4a•`` m Notary Public Undonvritors Bonded Thru Notary Public Underwriters
Bonded Th
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
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