HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: ' I
DEC 12 2011
Building Permit Application PE ,!11i;7i01,3
Planning and Development Services St. Lucie county, FL
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 MOW �r
PROPOSED IMPROVEMENT LOCATION:
Address: 8602 Santa Clara Blvd.
Legal Description: Lakewood Park-Unit 8-B- Blk 2 Lot 12
Property Tax ID#: 1301-610-0027-000-5 Lot No. 12
Site Plan Name: Block No. 2
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
replace 10 windows size for size
CONSTRUCTION INFORMATION:
Additional work to be erformed under t ispermit—check all appy:
HVAC Gas Tank Gas Piping Shutters ❑Windows/Doors
11 Electric ❑ Plumbing Sprinklers Ei Generator 11 Roof
Total Sq. Ft of Construction: SFt. of First Floor:
Cost of Construction: $ 12286.00 Utilities: Sewer 1:1 Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Steven Silva Name: Raquel Swanner
Address:8602 Santa Clara Blvd. 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: 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 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
coMmemi,Qg work or eco din otice of Commenc
Signatur 0 nt essee Signature of ontractor/License Holder
STA F FLORIDA STATE OF FLORIDA
COUNTY OF LaYY^' COUNTY OF L�
The forgoing instrument was acknowledged before The fy�rg,ing instrument was acknowledged before me
me this P day of /Vo v 20 17 by this i7�'day of /t/>— 20_17 by
(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. Commission No. (Seal)
TOOTHY R.O' E1' ;ip`;y••; TIitOTHY k.O';`",4L;_F Y
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MY 1MMISS10N#GG11l7135
Revised 07/15/2014 's EXPIRES August 7,20L_,_�,
EXPiRES August 7 2021
Bonded Thru Not' Pubic Unders
_ B ied Thru Notary Pubic Undo v;r iars
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS