HomeMy WebLinkAboutBuilding Permit Application LL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED i
Date: 12-06-17 Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division 1
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2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential x
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end offline
PROPOSED IMPROVEMENT LOCATION
Address: 2219 SW Seagrass DR.
Legal Description: HARBOUR RIDGE-PLAT 10-FAIRWAY VILLAGE UNIT 8(MAP 44/26S)(OR 4051-2043,2044)
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Property Tax ID#: 4426-805-0008-000-7 Lot No.
Site Plan Name: Block No.
(Project Name:
!Setbacks Front Back: Right Side: Left Side:
,DETAILED DESCRIPTION OFVORK
Replace all existing plugs and switches, change out (2) 6" Hi-hats with 4" can. Make 6" can a vanity
light
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CONSTRUCTIO.,N INFORMATION
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itional work to be nertormed under this permit—c ec a appy: 11
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HVAC _Gas Tank ❑Gas Piping In
_Shutters li Windows/Doors
Electric 0 Plumbing Sprinklers E Generator�i F71 Roof Roof pitch
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Total Sq.Ft of Construction: Sq. Ft-of First Floor:
Cost of Construction:$ 700.00 Utilities:ElSewerFISeptic Building Height: ,
OWNER/LESSEE CONTRACT013: j
Name Bill and Ann Carmody Name: Randy Olives
Address:9 Bemheimer Ln Company: Go Local Electric
'City: Cortlandt Manor State:NY Address: JI
Zip Code: Fax: City: 1 State:
Phone No. Zip Code: i Fax:
E-Mail: Phone No. i
Fill in fee simple Title Holder on next page(if different E-Mail:
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from the Owner listed above) State or County Licenser
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If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.,
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SUPPLEMENTAL CONSTRUCTION LIEN LAIN INFORMATION it
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY:, _Not Applicable
Name:Bill and M.Carmody Name:
i Add ress:2219 SW Seagrass DR. Address:-
City:
ddress:2Clty: CortlandlManor State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address: I
City: City:
Zip: Phone: Zip: Phone:
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OWNER/CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permit to do the;work and installation as indicated.
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 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
commencing work or recording our Notice of Commencement.
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Signa of wner/LfsseMcontractor as Agent for Owner Signa of C racto nse Holder
STATE OF FLORIDAI I STATE OF FLORI Q
COUNTY OF Yv`rA4tiT�-� COUNTY OF f 44M,_V.
i The forgoing instrument was acknowledged before me The fo going instrument was acknowledged before me
this 6 day of 'Duca:r%bpr ,2017 by this L day of 20_J2 by
Name of perso making statement W LL IN, v Name of person making statement a LL
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Personally Known OR Produced Identif cuit `� Personally Known�V OR Produced Identifica i �.
Type of Identification z ;. a Type of Identificationsn
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Produced aProduced z
UJUJ. 312
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(Signature otary Public-St a of Florida) a (Signature Notary' Public= a of Florida
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Commission No. 3 g33 3 (Seal) Commission No. F 3 3 (seal)
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION ! SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17
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