Loading...
HomeMy WebLinkAboutBuilding Permit Application Aid APPUCABMMRMUST BE COMPLEr DWR ;cK'eTW M-TO i%E ACCEI''ICCO� ` rt mate: 915117 .a ermit Number: RECEIVED OCT 2 0 201 _. Building Permit Application. Planning and DeveWment Services Building and Code Regulation Division 2300 Virginia Avenue,Fort Pierce FL 34982 Phone:(772)462-1553 Fax:(772)462-2578 Commercial Residential'x PERMT T APPLICATION FOR: Wridovittdoor PC)Pt3SCUW#t4tlr6� MAI r 5` Address 20 Sovereign Way Fort Pierce,FL 34949 Legal Description. QUEENS COVE-UNIT f-BLK 16 LOT N'(OR 1132-1825:1347-2310) Property Tax ID#: 1414-701-0158-000-8 Lot No.N Site Plan Name: 20 Sovefeig+n Way—Door Re fit Block No. 16 Proiect Name: Door Replacement, Setbacks Front x Back: / Right Side: Left Side: ;Replace exleli©rdoor_ Additional worK to De performeduncler t is permit-CneCK,all, app Y E1HVAC Gas Tank L_jfas Piping J (Shutters t' 1 Windows/Doors nElectric OPlumbing 0SOnklers .0 Generator ORoaf . Roof pitch Total Sq.Ft of Construction: Sq.Ft.of First Floor. 17-71 Cost of Construction: Utilities: Sewer Lj Septic Building Height: `t Name Marc&Betty-Sorce Name: Address:20 Sovereign Way Company: City: Fort Pierre Stater Address: Zip Code: 34949 Fax: City: State: Phone No.772-971-=81 772.579-8045 Zip fie: 'Fax: E-Mail:MSorce@H2Ofront.com Phone No. 01infeesimrple Ade;HatEderon:rtextVa�e.,j-ffdif'fer E=Mail: from the Owner listed above.) State or County License: If value of construction is$2500 or more,a RECORDED Notice of commencement is required. f 4 a rahQ( V. S ..':;.. .. ,.. r,.>a .,�•., t ...4- .,,...i.f-tom.-,Y, .�..T. r ....._._-,r .3..+s F, . DESIGNI`RJf111G1NiEER: Not Applicable MORTGAGE COMPANY: _Not Applicable-fame: Address: Address:.2osov -4,way Gity: State: -1=�- City: state: Zip: Phone Zip: Phone: FEE SIMPLE TITLEHOLDER: _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. 1 certify that rio work or:installat'ion has commenced;pdorto 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 prohibitsuch 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 wilt;in all respects,perform the work inaccordance 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 t6 obt4in financing,consult with fender or an attorney before . commencing work or recording our Notice of Commencement. Signature of0meTesseefiContractor as went for Owner Signature of Contractor/License Bolder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF S�1' . A-Uc C0UfW BF The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this roUS day of_ O cA .2 61-1 by this—day of 20_ by Namh of person making statement Name of person making statement Personally Known OR Produced Identification Personally Known . OR Produced;Identification Type of Identifica ion Type of identification Produced Produced (Signature of Notary Pu c- (Signature of Notary Public-State of Florida) s P p-MRIAMARIEGIVENS Commission No. My COI(SfON#GG 022023 Commission No. Seal EXPIRES:December 16,2020 t r �•' oldedThniNotary?ublirUndenvriter; .,FOIE f1.. REVIEWS FONT ZONING SUPERVISOR PLANS. VEGETATION SEA TURTLE MANGROVE COUNTER ,REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.8/2/17