HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED d
Date: �1�$,�� Permit Number:
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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
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line W ',*
PROPOSED IMPROVEMENT LOCATION:
Address: 7965 Saddlebrook Dr. Port St Lucie, FL 34986
Legal Description: Sabal Creek- Phase IV- Lot 166 (OR 1706-66)
Property Tax ID#: 3328-701-0019-000-4 Lot No. 166
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
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replace 2 windows size for size
CONSTRUCTION INFORMATION:
Additional work to be nertormed under this permit—check all thal appy:
El HVAC Gas Tank F]Gas Piping _Shutters ❑Windows/Doors
0 Electric ❑ Plumbing Sprinklers Generator a Roof
Total Sq. Ft of Construction: SFt. of First Floor:
Cost of Construction: $ 4915.00 Utilities:'n Sewer Septic Building Height:
Name Debra Morris-Wittke Name: Raquel Swanner
Address:7965 saddlebrook Dr. Company: The Home Depot
City. Port St Lucie State:FL Address: 6500 NW 12TH Ave. Suite 110
Zip Code: 34986 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: CGC1514813
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
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 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
befor first inspection. If you intend to obtain financi sult with lender or an attorney before
,c6mmencirig work oVepKdingyoq Notice of Co ncement.
Si natur r/ Lessee Signatu of Contractor/License Holder
STA F FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF
The forgoing instrument was acknowledged before The fgrrgoing instrument was acknowledged before me
me this a20 day of /gymy 20 17 by
this el day of neo✓ 20_17 by
P"qu,.e t J g v_e_l
(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
Commission No. P Seal)TIMOTHY R.O'MALLE V Comfission No. YP OTHYR.O'MALLEY
MY COMMISSION#GG 1'71i 35 T20 =o.
t 7.2021 MY COMMISSION#GG 11713
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...... Bonded Thru Notary Public Underwriters %'Fof ' Bonded Thru Notary Public Underwrite �
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
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