HomeMy WebLinkAboutBuilding Permit Application From Team K5 1.407.469.3499 Thu Nov 9 13:07:47 2017 MST Page 2 of 19
ALI.APPLICABLE INIFO MUST BE COMPLETED FOR APPLICATION TO 13E ACCEPTED
Date: � Permit Number: J_.t
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Building [pe r,et Application NOV 0 9
Planning and Development Services 2017
Building and Code Regulation Division PERwTTING
2300 Virginia Avenue,Fort Pierce FL 34982 St. ucie County, FL
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 NPROVEMENT_LOCATIQN: I
Address: 5201 Feather Creek Dr.
Legal Description: Holiday Pines S/D-Phase II-B-Lot 417 (MAP 13/13N)
PropertylaxlD#: 1312-801-0220-000-8 Lot No.417
Site Plan Name: _ Block No.
Project Name:
Setbacks Front _ Back: Right Side: Left Side:
DETAILED DESCRIPTION-0.1' WORK:
reroof 40 squares asphalt shingles
i
CONSTRUCTION-iNFOR1.AATION
Acid itional wor,to be pertorme unclertnis permit—c ec<all UIL appy:
L_
HVAC Gas Tank ❑Gas Piping Shutters Windows/Doors
11 Electric Plumbing Sprinklers Ll Generator Roof
Total Sq. Ft of Construction: Sc{1 Ft.of FirstFloor:
Cost of Construction:$ 17914.00 Utilities: Sewer F Septic Building Height:
OWN SEE:- CONTRACTOR:
Name Elvira Burney Name: Raquel'Swanner
Address:5201 Feather Crek Dr. 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: CCC1331113
It value of construction is$2500 or more,a RECORDED Notice of Commencement is required. °t
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From Team KS 1.407.469.3499 Thu Nov 9 13:07:47 2017 MST Page 3 of 19
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SUPPL-wIENTALCONSTRUCTION ;L1,E i L IN INFORMATION
CESIGN1FR/ENGINEER: v Not Applicable MORTGAGE COMPANY: _ _ Not Applicable
Marne: Name:
t 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'f0 OWNER:Your failure to Record a Notice of Commencement may resiilt 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..II yoy..mend to obtain financing, consult with lender an attorney before
corn_me".qng work or rep6 in ' our Notice of COmme 3LE_049Ql .
Si (ature Own r/ nt/L ssee Signature of Contractor/License Holder
STATE FLORIDA STATE OF FLORIDA
CC)UN OF Si- L u.c-L COUNTY OF St Lkc-i�-
The forgoing instrument was acknowledged before The for oing instrument was acknowledged before me
me this 2 day of A9ro✓' 20 17 by this day of AJ•s✓ 20_17 by
(2-04 ct/ Ja.�awn.rr
(Name of person acknowledging) (Name of person acknowledging)
,�*F`Lt,;;caa0sy,:. ssr.1 S.+M.m.�n'a,. ,y.;�,•�a... 3^'. w.'f' e. at�+nre,.a.�.r.r.IDu:I.g�!x.."�^.�!'L�.•J�IBL`r :�B"
TIMOTHY F 0'M YTIlAOTHY R.O'Ml�L
I' ry, �s
Lr`!CONIMISSiOft#GG 17135 �. �� F k' MY G'Uiv1MISSION#GG 71
EXPag; -h, t7,�
Knore of NotaryPublic-State poJel mru Notary Public u 1MarPublic eilF(Signature of Notary Public-Stat t ui��JTluuF .r
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Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. r06 111135 (Seal) Commission No. (Seal)
Revised 07/15/2014
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE f
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE -
COMPLETE
INITIALS
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