HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED /
Date: � t -� �v1�'�-11$ Permit Number: l 71 0.3-7 X.
Building Permit Application
Planning and Development Services OCT411t2017
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
PROP`OE`DIIU�PROVEMENThLOCATION � � - £ ' � >
Address: 1408 N 42nd St.
Legal Description: Sunland Gardens-Section 4- Blk 53 S 1/2 of Lot 5 and all lot 6(0.41 AC)(OR 477-1448)
Ct 10 C1 AL'OtW W O P+NORLS
Property Tax ID#: 2406-506-0106-000-8 Lot No.5
Site Plan Name: Block No. 53
Project Name: Bowman- 10377670
Setbacks Front Back: Right Side: Left Side:
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DETAILED,DESCR)PTlON OF WO'FtK �� t , ,' � , ��
x
replace 15 windows size for size— WOW
°CONSTRtJCTIf3U INFORMATION ' '
Add
rtiona workto e e orme under this permit—c ec a appy:
❑HVAC Gas Tank Gas Pi Windows Doors
❑ in Piping Shutters ❑ /
ElElectric 0 Plumbing Sprinklers M Generator El Roof
Total Sq. Ft of Construction: SFt. of First Floor:
Cost of Construction:$ 11861.00 Utilities:n Sewer[]Septic Building Height:
01I1/NERNESSE k ; CONTRACTOR F
Name Mary Bowman Name: Raquel Swanner
Address:1408 N 42nd St. Company: The Home Depot
City: Fort Pierce State:FL Address: 6500 NW 12TH Ave. Suite 110
Zip Code: 34947 Fax: '�AA- City: Fort Lauderdale State:FL
Phone No. VD,349 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.
�i1PPLEMENTgAL�CQNSTRtICTIQIV LIEN IAWINFaRMAf10N:a t
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DESIGN ER/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:
1 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 lender'or an attorney before
cpmTnunqng work or recording our Notice of Commencement.
Signatur o O en /Lessee Signat re of C ntractor/License Holder
ST OF FLORIDA STATE OF FLORIDA
C NTY OF t4i(y__ COUNTY OF CA«
The forgoing instrument was acknowledged before The forgoing instrument was acknowledged before me
me'this JCp day of 0CIC ' , 20-17 by this I!C_L day of OCT ,20_17 by
leu CD_Wax-ckr I 1?VC4QL5EC CE:Warnw_
(Name of person acknowledging) (Name of person acknowledging)
(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
IT
Commission No. t„TY?�a_ (Sd OTHY R.O'MALLEY bmmission No. .•SA;:?ye•,, (g MIY R.O'MALL EY
MY COMMISSION#GG 11713 X
MY COMMISSION#GG 117135
EXPIRES:August 7.,2021 EXPIRES:August 7,2021
,.t•....•N• ;..g?'*• I
'•,EOF F;°•`` Bonded Thru Notary Public underwriters •.,of F Bonded Thru Notary u Ic n ervrn F
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Revised 07/15/2014 -
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DATE
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INITIALS