HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10/13/2017 Permit Number:D 1 dJ d 3 5a
RECEIVED T 13 2017 .
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 x
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line bey,.-AQ
1
,��
Address: 1911 S 35th Street
Legal Description:
Property Tax ID#: 2417-342-0002-000-1 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
�N�y
f°ir�
Demolition and Removal of House
i�wmaleils,9i 3l
a
Additional work to (e ne orme under this perms –c ec a appy:
EHVAC Gas Tank F]Gas Piping Shutters a Windows/Doors
1 Electric 0 Plumbing Sprinklers a Generator ❑ Roof
Total Sq. Ft of Construction:. 823 Scl. Ft,of First Floor:
Cost of Construction:$ 2,200.00 Utilities:11 Sewer F—]Septic Building Height:
9/
0/060",
ff>,�i ?
9 ,
r"
Name Sandra M Dunn Name: Cheryl A. Jacquin
Address: P. O. Box12459 Company: P&C Construction of the Treasure Coast, LLC
City: Fort Pierce State: FL Address: P.O. Box 4343
Zip Code: 34979 Fax: City: Fort Pierce State:' FL
Phone No. 772-979-3866 Zip Code: 34948 Fax: 772-461-0095
E-Mail: Phone No. 772-216-8900
Fill in fee simple Title Holder on next page(if different E-Mail: pcconstructiontc cl,aol.com
from the Owner listed above) State or County License: CGC 056649
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
lgg 44
10VFIR
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 buildin&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.
!Cil./ s
_Signatur f wner/Lessee/Agent Signature of Contra or/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY,OF St Lucie COUNTY OF St Lucie
The forgoing instr ent was acknowledged before me The forgoing instr ment was acknowledged before me
this,-day of "�0 L'I �_, 20 jby this day of — 20 j�6y
(Na meof etiso>�c n wledging) (Name of'p rso acknowl,dging)
v /
(Sig re o Notary Public-State of Florida) (si a ere N tary Public-State of Florida)
Personally Known ✓ OR Produced;Identification Personally Known ✓ OR Produced Identification
Type of Identificatio Type_of identification Produced_
Tr7 Notary Public State of Fibdda pIp
Commission No. Gregory �Si� Commission No. Ate''° Notary Public S� Flprlda
o Y CommsToFF:232514 ory S Kra 8�1
os�o`� Expiros 05!19!2018 My commission FF 232514
rynires 051191201,9
Revised 07115/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS