HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED _07-0 J
Date:.07/23/18 Permit Number: DcrED
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JUL 23 2018
Building Permit Application Permitting department
Planning and Development Services y
St. Lucie CountY, FL
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: Siding El
PROPOSED,IMPROVEMENT LOCATION:
Address: 5909 BAMBOO DR FT PIERCE FL 34982
Legal Description: INDIAN RIVER ESTATES UNIT 09
PARCEL ID 3402 610 0444 000/0
Property Tax ID#: 34/02 N Lot No.21/22
Site Plan Name: Block No. 86
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
WE WILL INSTALL METAL LATH ON EXSISITING HOME THEN APPLY 3/4 INCH OF STUCCO
CONSTRUCTION INFORMATION:
Additional work toe e orme under this permit—check a appy:
HVAC f]Gas Tank F]Gas Piping _Shutters ❑Windows/Doors
Electric El Plumbing E]Sprinklers E]Generator E] Roof Roof pitch
Total Sq. Ft of Construction: S . Ft.of First Floor:
Cost of Construction:$ 6000 Utilities:n Sewer E]Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name RASHHINI LA KRAM Name: HAROLD DEAN ROBERTS
Address:5909 BAMBOO DR Company: DETAILED ENTERPRISES INC
City. FT PIERCE FL State:FL Address: 565 NW CORNELL AVE
Zip Code: 34982 Fax: City: PORT ST LUCIE State:FL
Phone No.772 940 8526 Zip Code: 34983 Fax:
E-Mail:UN KNOWN Phone No. 772 475 0112
Fill in fee simple Title Holder on next page(if different E-Mail: DE:ANROBERTS@DEIFLA.COM
from.-the Owner listed above) State or County License: CRC1331073
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
Nal me:RASHHINI LA KRAM Name:HAROLD DEAN ROBERTS
Address:5909 BAMBOO DR FT PIERCE FL 34982 Ad d reSS: 5909 BAMBOO DR
City: FTPIERCEFL State: City: PORTSTLUCIE State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address:565 NW CORNELL AVE 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 intend to obtain financing, consult with lender or an attorney before
commencing work or recording our Notice of Commencement.
SI nature of Owner/Lessee/Contractor as Agent f r„ Signature of Contractor/License Holder 0)
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STATE OF FLORI z STATE OF FLORID �G M=W=COUNTY OF s og COUNTY OF «//�, =-b
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The f r oing instru ent was acknowledge before oo°C~ The f r oing instr ent was acknowledged before o�Q z
this day of 20JbyW g thisday o 20by >-X $
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Name of person making statement Name of person making statement ;>a
Persona n OR Produced Identificati % �` Personally n OR Produced Identificati ;• OF
Type of Identifi ion / D Type of Ide ific ' n •-'• �'
Produced Gr'' ��. Produced ,
(Signature of N ry Public-State of Florida) (Signature of Nota ublic-State of Florida)
Commission No. (Seal) Commission No. (Seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17
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