HomeMy WebLinkAboutBuilding Permit ApplicationDESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
Citv:
Zip: Phone:_
Not Applicable
BONDING COMPANY:
Name:
Address:
Citv:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
Not Applicable
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 intend to obtain financing, consult with lender or an attorney before
commencing work or recording our Notice of Commencement,
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FLORIDASTATE OF
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(Name of person acknowledging ) (Name of person acknowledging )
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Personally Known x OR Produced Identification
Type of Identification Produced
Commission No. commission No. (Seal)
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PLANS
VEGETATION
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MANGROVE
COUNTER
REVIEW
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REVIEW
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DATE
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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
Address: 4914 Paleo Pine Cir.
Legal Description: Holiday Pines S/D-Phase II -B -Lot 300 (Map 13/13N)
Property Tax ID #: 1312-801-0103-000-2
Site Plan Name:
Project Name:
Setbacks Front Back:
install 16 aluminum storm panels
Right Side: Left Side:
Lot No. 300
Block No.
Additional work to be pertormed under this permit — check all thal apply:
HVAC 7_ Gas Tank Flas Piping _ Shutters Windows/Doors
FElectric ❑ Plumbing OSprinklers 1:1 Generator F]Roof
Total Sq. Ft of Construction: SFt. of First Floor:
Cost of Construction: $ 7938.00 Utilities:._ Sewer F]Septic Building Height:
Name Steve Phillippe
Address: 4914 Paleo Pine Cir.
City: Fort Pierce State: FL
Zip Code: 34951 Fax:
Phone No.
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: Raquel Swanner
Comoanv: The Home Depot
Address: 6500 NW 12TH Ave. Suite 110
City: Fort Lauderdale State: FL
Zip Code: 33309 Fax:
Phone No. (754) 224 - 2010
E -Mail: Jonathon.thomas@expeditepermit.com
State or County License: CGC1514813
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.