HomeMy WebLinkAbout03-12-2018(2)ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
Building Permit Application
i'lonning and Development Services
3uilding and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
?hone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
Address: 8012 PLANTATION LAKE DRIVE PORT ST. LUCIE, FL 34986
Legal Description: RESERVE PLANTATION PHASE IIA LOT 24
Prroperty Tax ID #: 3321-803-0030-000-9 Lot No. 24
Site Plan Name: JPSEPH MARRAZO Block No.
Project Name: MARRAZO RESIDENCE _
Setbacks Front Back: _ Right Side: Left Side:
CHANGE OUT TWO IDENTIAL AC SYSTEMS
3.5 TON/ 16 SEER/10KW
CjHVAC
C] Electric
Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 13,500
Sprinklers
Name
Address:
City: _ State:
Zip Zode: Fax:
Phone No.
E -Mail:
"Shutters
FIGenerator
Scl. Ft. of First Floor: _
Utilities: Sewer Septic
Fill in fee simple Title Holder on next page ( if different
frorn the Owner listed above)
QWindows/Doors
Roof Roof p t&
Name: STEVIE SANDERS
Building Height:
Company: STEPHEN K DENNY
Address: 406 COMMERCE WAY
Citv: JUPITER
Zip Code: 33458 Fax: _
Phone No. 561-743-9554
E -Mail:
State or County License: CAC1813800
If value of construction is $2500 or more, a RtCUKUtU rvotice oT Lommencement ib requncu.
State: FL
M-11 Y,
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:
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, 1 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 po d on the jobsite
before the first inspection. If y intend to obtain financing, consult with lender or a attprney before
commencingwork or recordi our Notice of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA_,,STATE
OF FLORIDA
COUNTY OF A.; c'
COUNTY OF 5V .
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this = day of 201'�S by
this j day of YYloj-&-1 26S by
-_) i_ & 1C "�
ifs' rr _:A limit
Name of person making statement
Name of peren making statement
Personally Known �`OR Produced Identification
Personally Known wOR Produced Identification
Type of Identification
Type of Identification
Produced
Prod
(Signature of Nota P"u ic- taf F.r 21, z�?i• .
(Signature of Notary Public- State` Flory �Y p� ? •,� ��
Commission No. * (SWU ., * c
Commission No. * : (SwU
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DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17