HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONCity:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone: _
State
City:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: _ Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
State:
x Not Applicable
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 n cement. atto efore
commencing work or recording your notice of Commen
_ SiggCtuje°'of Owner/ Lessee/Agent
STATE OF •` '!
COUNTYOF
The for ging instrument was acknowledged before me
this day of d , 20 =by
4 3
(Name of person acknowledging )
—21
(Sign e of ary Publi e of° lorida )
Personally Known OR Produced Identification
Type of Identification Produced
Commission No.
Revised 07/15/2014
(Seal 1D C SHEPHERD
MY COMMISSION # GG 052274
Bonded Thea Budget Notary Serricos
cense Halder
STATE OF FLORIDA
COUNTY OF
The forgoing instrument was acknowledged before me
this 7 day of 4, f
20/1_by
(Name of person acknowledging)
re of Notary Pukt"State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
Commission No.
(Seal)
DAVID C SHEPHERD
EXPIRES: December 4, 2020
AdAded Thru Budget Notary SOMME
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
Planning and Development Services
Building and Code Regulation Division
2BD0Virginia Avenue, Fort Pierce FlJ4982
Phone: (77Z)462 -l553 Fox: (772)462-1570 [OD1O1erCi3l Residential ««
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
Address: 8199 BLOLLY CT
Legal Description: SA\ANNACLUB-PLATONE-BLKi LOT15(OR 1484-13Q2:3O53-1042;3037-4G5)
Property Tax 0#, 3425-701-0032-000-9
Site Plan Name:
NEVV/URCONO�K}N|NG
P��ectName�
Setbacks Fnont________ Back:___
Right Side: Left Side:
Lot No.—
Block No.
o`_8|ockNo.
zoumna/worxoo De pertormecl unoertx/s permit check all
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LJE|ectric ��P|umbinQ | |Sprink|ers
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apply:
Shutters | |Windows/Doors
Generator L~�}Roof
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Total Sq. PLofConstruction: .
Cost ofConstruction: 3800
of First Floor:
Utilities: 0Sewer L_JSeptic Building Height:
Name Howard Hulse Patricia Hulse
Address: 118EuatvimwDRHorseheads, NY14845
City - HORSEHEADS State: NY
Zip Code: 14845 Fax -
Phone No
ox-PhuneNo 17726781272
E -Mail: PHULSE@TWC.COM
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: A/C DOCTORS INC
Company:
Address: 850 NE FEDERAL HWY
City: STUART State: FL
Zip Code: 34957 Fax: 7726075700
Phone No. 7723443944
E -Mail: ACDOCTORSINC@GMAIL.COM
State or[ountv License: CAC058461