HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED r, _ - I
Date: Permit Number: `U/U1' 0
RECEIVED
Building Permit Application APR 55 2018
Planning and Development Services ST. Lucie County, permitting
Building and Code Regulation Division —�-
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Window/door
PROPOSED IMPROVEMENT LOCATION:
Address: 10701 S. Ocean Drive lot 895
Legal Description: Venture Out at Indian River Inc. Lot 895
Property Tax ID#. 4511-510-0096-000-6 Lot No.895
Site Plan Name: Block No.
Project Name: Matteson Residence
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Remove(2)sets of sliding glass doors. Install(2)new sets on Impact resistant sliding glass doors.
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit-check all tbat appy:
HVAC Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors
Electric Plumbing Sprinklers Generator ❑Roof Roof pitch
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 2000.00 Utilities:n Sewer U Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
NameSteve and Susan Matteson Name: Chad Pickard
Address:10701 S Ocean dr Company: Chad Pickard Construction, LLC
City: State:FL Address: 1434 SE 13th Street
Zip Code: Fax: City: Stuart State:FL
Phone No. '1'��. y Z 'l� Zip Code: 34996 Fax:
E-Mail: Phone No. 772-215-2430
Fill in fee simple Title Holder on next page(if different E-Mail: chadpickard@hotmail.com
from the Owner listed above) State or County License: CGC 60885
if value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: x 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 the permit 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 int o obtain financing, consult with lender or an attorney be�.�
commencin worl-or recordingyour No Ice of Commencement.
Signature of Owner/Lessee/Contractor as Agent for Owner Si Fe bf Con or/Li ense Holder
STATE OF FLORIDA ,,4� STATE OF FLORID 1
COUNTY OF c� • Ll 10,LF_ COUNTY OF -!ta1 {-1.'
The fgMoing instrtent was acknowledge¢,before me The fQ{gging instrume w�s ac�Cnowledg efore me
this I�day of 20J4 by this L%ay of L 20Z by
Name of person making statement Name of person making statement
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identificat� Type of Identi t' n
Produced L L Produced
(Signature of Notary Public-State of Florida) (Signat a of Notary P Iiic-State of Florida)
Commission No. Commission NFk
o JI e`-�"v P& &d
Commission# FF 115637 a° State of
,�
My Commission Expires My Cornmisslo�
-2 2018
October 31,
4356
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE .
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17