HomeMy WebLinkAboutBuilding Permit Application s' ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED {�0�
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Date: Permit Num
E, icir. E 91
MUE.I INN
-0111.
Building Permit Application AUG Q 9 2018
Planning and Development Services Permitting Deem tment
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucie CO ti Fi ty, FL
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Llkusfdentiat x----- —
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMP'ROVEMENT'LOCATIO'N
Address: 1104 FLEETWOOD LN.
Legal Description: DRIFTWOOD MANOR SECTION ONE
Property Tax ID#: 3404-806-0006-000-5 Lot No. 6
Site Plan Name: DRIFTWOOD MANOR Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
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CONSTRUCTION INFORMATION: .
Additional work to be nerformed under this permit—check all that appy:
HVAC Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors
Electric ❑ Plumbing Sprinklers ❑Generator Roof ® Roof pitch
Total Sq. Ft of Construction: k S . Ft.of First Floor: 7
e
Cost of Construction:$ i 225700 Utilities: _Sewer E]Septic Building Height:
OWNER/LESSEE: CONTRACTOR:'
Name GEORGE KALIDONIS Name: STEVE FRONTERA
Address:1104 FLEETWOOD LN. Company: STEVE FRONTERA ROOFING, INC.
City: FT. PIERCE State:FL Address: P.O. BOX 9661
Zip Code: 34982 Fax: City: PORT ST. LUCIE State:FL.
Phone No.772-708-4679 Zip Code: 34985 Fax: 772-336-8568
E-Mail:greek@gate.net Phone No. 772-336-3880
Fill in fee simple Title Holder on next page(if different E-Mail: steve.frontera @att.net
from the Owner listed above) State or County License: CCC1326920
if value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLEHOLDER: _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 Comme ement may result in your paying twice for
improve s to o .A Notice of Commencement corc a osted on the jot
before a firs ection. If yo intend to obtain financi I a
comm wor or recordin ur No ' menc ent
Sign atur o Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF X11 R kn COUNTY OF M Alt-'6 r)
The forgoing instrument was acknowledged efore me The forgoing instrument was acknowledged efore me
this day of W�- 20iby this�day of 3 20by
6�CL't' N 6�elte Fy on kv-z� —
Name of pe rso making statement Name of person king statement
Personally Known OR Produced Identification Personally Known person
Produced Identification
Type of Identification Type of Identification
Produced Produced
(Sig ture of Notary Pu Ict�°ti �''� (Sign ture of Notary Public-Sta F of a
Q1p(lY AVe Notary Public State of Florida r� Q o�RY°�e` of Public State of Florl a
F - Cann_&l�ntantoni Commission No. 1`_ /75� ����Yv
Commission No. My Co Commission FF 975783 ( S�Yhela Frantantoni
vOF Fin
Expires 05/29/2020 �o` My Commission FF 97578
'�0 F�° Expires 05/29/2020
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17