HomeMy WebLinkAboutbuilding permitDate:
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 d_rop_box, clickarrow
Address: 113 N Las Olas Dr.
Legal Description: Beach Club Colony -Section One Lot 15 -Less W 44.18 ft- (OR 3555-425)
Property Tax ID #: 4511-500-0030-000-5
Site Plan Name:
Project Name: Fuscaldo - 10797921
Setbacks Front Back:
Right Side: Left Side:
REPLACE 9 WINDOWS SIZE FOR SIZE; NOA 17-0630,08,17-0630.01
Lot No. 15
Block No.
mitionai worK to be Derrormea
HVAC Gas Tank
unser tnis permit— cnecK aii toapply:
❑Gas Piping
ZWindows/Doors
_
_Shutters
Electric ❑ Plumbing
1:1Sprinklers
L-1 Generator
F]Roof
Total Sq. Ft of Construction:
Cost of Construction: $ 10228.00
Name Hea Fuscaldo
Address: 113 N Las Olas Dr.
Sc. Ft. of First Floor:
Utilities: _ :]Sewer E]Septic
City: Jensen Beach State: FL
Zip Code: 34957 Fax:
Phone No.
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: Raquel Swanner
Companv: The Home Depot
Building Height:
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 $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAS! INFORMATION.
ESI N ER/I Not Applicable
Name:
Address:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
City: State:
Zip: Phone:
City: State:
Zip: Phone:
FEE SIMPLETITLEHOLDER: Not Applicable
Name:
BONDING COMPANY: Not Applicable
Narrne:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St, Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recordiraR vour Notice of Commencement: -'
,
Signature o ` Owner' Agen. lest.see
FLORIDA
OF
The forgoing instrument was acknowledged before
me this 25 day of , , 20 1°by
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF S -F Li
The forgoing instrument was acknowledged before me
this Z:-") day of Jam- , 20_1$' by
(Name of person acknowledging) (Name of person acknowledging )
(Signature of Notary Public- State of Florida )
Personally Known X OR Produced Identification
Type of Identification Produced
(Signature of Notary Public- State of Florida )
Personally Known X OR Produced Identification
Type of Identification Produced
Commission No. T! yR•O,MALLEY ! Commission No.
®�° ° '•P ® w®MMISSION # GG 117135 I
o -XPIRS; Augus4 7, 2021
®eBFOF F��o®� Bonded ThT NO��Y Pu rc
Revised 07/15/201
'TIMOTHY R. OWALLFY
MY COMMISSION # OU 117135
Bonded Thru Notary Public Underwritors
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