HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1/12/18 Permit Number:AL
- •ian RECEIVED
Building Permit Application JAN 1 6 2018
Planning and Development Services
Building and Code Regulation Division ST, Lucie County, Permitting
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial :!9 Residential
PERMIT APPLICATION FOR: Window/door 6
PROPOSED IMPROVEMENT LOCATION:
Address: 2406 Harbour Cove Drive Fort Pierce, fl 34949
Legal Description: CORAL COVE BEACH-SECTION ONE- THAT PART OF TRACT B
AKA HARBOURCOVE UNIT 4 MPDAF
Property Tax ID#: 1425-701-0064-040-8 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Replacing sliding glass doors and front door. S` `L
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all apply:
HVAC Gas Tank ❑Gas Piping _Shutters Windows/Doors
11 Electric �Plumbing Sprinklers �Generator �Roof Roof pitch
Total Sq. Ft of Construction: �^ SFt. of First Floor:
Cost of Construction:$ ��, ScL Utilities:�Sewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name i\;,./A C!A Name: Joshua Clark
Address: 3- C (m r� ��'� ,� �u Company:
Great Builder, LLC
City: r y cmc State:_ Address: 1 rAve
Zip Code: ( Fax: City: Vero Beach State:
Phone No. DI Sq Zip Code: 32960 Fax:
E-Mail: C (z) • Z I 1 111,1 Phone No. 772-643-3362
Fill in fee simple Title Holder on next page( if different E-Mail: lOS Car great UI er.COm
from the Owner listed above) State or County License: CBC1 260978
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: Tdi'lPn(e SCklt', PE. � Name:
Address: Z /c Address:
City: State: L City: State:
Zip: 3 Z-1 Cn Phone 7 ' r�'Ilg Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
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 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
commencing work or recordingfour Notice of Commencement.
Signati.6 of Owner/Lessee/Contractor as Agent for Owner Signatu a Contractor/License Holder
ATE OF FLORIDAST E OF FLORIDA I
OUNTY OF UNTY OF �l
The forgoing instruipent was acknowledged.before me Theorgoidang instr ment was acknowledge efore me
this\ day of 20 by this y of
20_Ll by
Name of person making statement Name of person making statement ✓
Personally Known OR Produced Identification ✓ Personally Known OR Produced Identification
Type of Identi i tion Type of Identification
Produced D L Produced
KAA
(Signature of Notary Pub ic-Stale of Florida) (Signature of Notary Public-State of Florida)
Commission No. Km S. NFELSEN ommis r�fl 'd'"�� KARENS. NIEL�)
J Comm;ss
Co missno Ss on Expires =.f *I My Comm ss on Expires
"f My cOm01 8 June 12, 201 8
REVIEWSFRO SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
CFROXtR� REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17