HomeMy WebLinkAbout2992 Satinleaf Ct permit appALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: CDV'I I
�W
Permit Number:
Planning and Deve(oprnentServices Building Permit Application
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 349,32
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION;
Address:r'
Legal Description:
Property Tax ID ##: Q 15 w R 1 C
Site Plan Name:
Lot No.
Project Name;
Block No. I
Setbacks Front_. __� Back: Right Side:
g Left Side:
DETAILED DESCRIPTION OF WORK:
9, a � �
i C1 ur�-
CONSTRUCTION INFORMATION
npp Y�
itiona wor to e er orme un er t is permit – c ec a t a
HVAC —Gas Tank Gas Piping _ Shutters
n0
LSI Electric Q Plumbing Sprinklers Generator
Total Sq. Ft of Construction:
Sq. Ft. of First Floor:
Cost of Construction: $ �J 1 u .
Utilities: Sewer Septic
OWNER/LESSEE:
Name
Address:
City:—�1i-
State: Cz;
Zip Code: Fax:
Phone No. 4. _ ?
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR:
E] Windows/Doors
Roof Roof pitch
Building Height:
Name: JOSEPH TULLY
Company: GENESIS PLUMBING SERVICE INC
Address: 1532 SE VILLAGE GREEN DRIVE UNIT B
City: PORT ST LUCIE
State: FL
Zip Code: 34952 Fax: 772-335-2680`
Phone No_ 772-337-3682
E -Mail: GENESISPLUMBINGSERVICES@GMAIL.COM
State or County License: CFC1429103
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
Name:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:_ Not Applicable
Name:
BONDING COMPANY: Not Applicable
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 Countyy makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in contlict 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 your Notice of Commencement.
Signature of Owner'/ see%C(ontractor as Agent for Owner
STATE OF FLORIDA,`,, STATE OF FLORIDA
COUNTY OF ', i :,E COUNTY OF =",-
The forgoing instrument was acknowledged before me
this fkdayof:.� -' ZO I,L by
(Name of person acknowledging)
(Signature -6f Notary Public- State of Florida } `'
— smuu,r�
Personally Known,L., rpt Prdei�rlFc�iz
Type of Identificati
Commission # GG 97150
=r app y Uornmissiontxpltes
Commission No.
�.`„°,�";;�'�� Agri 2 4 021
Revised 07/15/2014
The f rgoi g instrum was acknowledged Before me
this day of � 20 -` by
(Name of person acknowledging)
(Signature of Notary Public- State of Florida)
Personal! Known _< +,k", p j
y rrj� Pra,,.,dq�le.t�rcdiQfif�
Type of IdentificaI l�f� Commission # GG 97150
t_
My Commission xpir
Commission No. '7OF Aprl1 021
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS