HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �O�' �• Permit Number:
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Building Permit Application RECEEVED
Planning and Development Services DEC 21 2017
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 �N�
PROPOSED,IMPROUEMENT LOCATION .
Address: 3102 Tropic Blvd.
Legal Description: Sheraton Plaza Unit 2 Replat Lot 111
Property Tax ID#: 1432-805-0111-000-2 Lot No.1111
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
r
DETAILED DESCRIPTION OF 1NORK
install 10 aluminum storm panels
CONSTRUCTION IN-FORMATIO(U
.,
dAdditional work toe Dertormed un ert is permit—check all h appy:
HVAC Gas Tank ❑Gas Piping _Shutters []Windows/Doors
❑Electric ❑ Plumbing Sprinklers ❑Generator Roof
Total Sq. Ft of Construction: SFt. of First Floor:
Cost of Construction:$ 3389.00 Utilities:nSewer 0Septic Building Height:
O�NNER/LESSEE CONTRACTOR
Name HRJS LLC Name: Raquel Swanner
Address:3107 Tropic Blvd. Company: The Home Depot
City: Fort Pierce State:FL Address: 6500 NW 12TH Ave. Suite 110
Zip Code: 34946 `Fax: City: Fort Lauderdale State:FL
Phone No. ? T �c� 3 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.
7777777
SUFRLEMENTAL CONSTRUCTI(3N 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
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commtAG444g work or reco_rdirlgyour.Notice of Commenc n .
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Sig ture of ne L ssee Signature of Contractor/License Holder
STAT F FLORIDA STATE OF FLORIDA
CO TY OF COUNTY OF
The forgoing instrumentyCas acknowledged before The forgoong instrumegt_was acknowledged before me
me this ))I'day of WC- 20 17 by this �Y day of aAf-C— 20_17 by
1 �M(A I (gZJA rm G� A. yd S L�"n n 2�
(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. i e°5PpYPaaL"; (SfTdI')OTHY R.01'ALLEY mmission No. °<;PY?�P`c= (g&rJRTHY R.OVALLEY
_* _ MY COMMISSION#GG 11713 ren '*: MY COMMISSION#GG 117135
EXPIRES:August 7,2021 EXPIRES:August 7,2021
NI
soF a°•° Bonded Thru Notary Public Underwriters •:g Bonded Thru Notary Public Underwriters
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
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DATE
COMPLETE
INITIALS