HomeMy WebLinkAboutBUILDING PERMIT From Team K5 1.407.469.3499 Thu Jan 11 14:17:17 2018imsT Page 1 of 22
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED l �+
Permit Number: 't3�J ' 0�1
Date: RECEr4p i
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JAN 1 '1Q18.
Building Permit Application �S'��ntV
Planning and Development Services
Building and Code Regulation Division i
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential 1
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end'oef lin,
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the Reserve Phase 1 Kingsmill Lot 56(OR 3993-796)
Legal Description- POD 33 at
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Property Tax ID#: 3334-500-0067-000-7 3 Lot No.56
Block No.
Site Pian Name:
-Project Name:
Setbacks - Front Back: Right.Side: Left Side:
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install 17 aluminum storm panels
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- j rt�ona wor to e e orme un ert �s perm►t—c ec a apP Y� i �
HVAC �Gas Tank ❑Gas Piping _Shutters i �WindowsjDoors
LJ Electric -Plumbing Sprinklers Generator
Total Sq.Ft of Construction: SCI.Ft.of First Floor: i
! Cost of Construction:$
7487.00 utilities:0Sewerl_JSeptic I Building Height,
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Bon for o n,pRaouel Swanner
Address:8836 First Tee Rd. Company: The Nome Depot
City: Port St Lucie State:FL Address: 6500 NW 12TH Aye,Suite 110
Zip Code: 34986 Fax; City: Fort Lauderdale State:FL
33309 r
Phone No. Zip Code: Fax!
E-Mail: Phone No, (754)22;4-2010}
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.
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From Team K5 1.407.469.3499 Thu ]an 11 14:17:17 2018 MST Page 2 of 22
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DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State: City: ' State:
Zip: Phone: Zip: Phone: ,
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FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
j Address' Address:
City: City: _
Zip: Phone: Zip: Phone:
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{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 permits holder do build the subject structure
-which is in conflict with any applicable Home Owners Association rules,bylaws or antl covenants thatmay 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 anId posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commenemig work or recordin . our Notice of Commencement-.
01
Signature of0%gner/'A.0ntktessee SignatuContractor/License Holder
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STATE Q.F FLORIDA STATE OF FLORIDA; i
COUNTY OF Sfl' L lu-f COUNTY OF s � �
The forgoing instrument was acknowledged before The fgoing instrument was acknowledged before me
me this 44 day of - J&K- 20 17 by this_day of�? 20_17 by
I (Name of person acknowledging) (Name of person acknowledging.)
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(Signature of Notary Public-State of Florida} (Signature of Notary Public-State of Florida)
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Personally Known X OR Produced Identification Personally Known X ORIProduced Identification
Type of,Identification Produced Type of Identification Produced ,
Commission No. Sept mmission No, (Seal)
TRAOTHY R.OWALLEY
c i ;, "e., TIhAOTHYR.OT0IALLEY
? i = I; MY CUt?4M1SS1 t�11113
�'LBondedThru
XPIRES:August 7,2021 '" .,
Revised 07/15/2014 :° 4 ,�, �; I ExPIREs:August 7.2021
Notary Public llodeivrfitefe' 'FBF F�°4`' Bonded Thru Notary Pubric Undefwriters
-aP.,4Yla-+ kY'�sT�RQrvu,M Ci 9r5t'Yi��df0 �aa -
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW j REVIEW REVIEW
DATE
COMPLETE
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INITIALS
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