HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO.MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:_ 873 U, � Permit Number:
RECE1
- Building Permit Application AUG 10 2018
Planning and Development Services
Building and Code Regulation Division Permitting
2300 Virginia Avenue,Fort Pierce FL 34982 Department
Phone: (772)462-1553 Fax:(772)462-1578 Commercial Re id#ka�use C.r nty, FL
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
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Address: 1006 Midway Road
Legal Description:
Property Tax Its#: . 3404-501-0119-000-4 Lot No3to5.14to19&2
Site.Plan Name: Block No. 24
Project Name:
Setbacks Front Back: Right Side: Left Side:
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Demolition and Removal of House
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AdditionaiworK.toeerrormea, under t is.permit"'cneCK all appy:
0HVAC Gas Tank []Gas Piping _Shutters 11Windows/Doors
ElElectric F-1 Plumbing Sprinklers FI Generator 13 Roof
Total Sq.Ft of Construction: 1300 S Ft,of First Floor:
Cost of.Construction:;$ 2,400.00 Utilities: ®Septic Building Height:
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Name St Lucie County Board of County Commissioners Name: Cheryl A. Jacquin
Address: 2300 Virgina Avenue Company; P&C Construction of the Treasure Coast, LLC
City: Fort Pierce, FL 34982 State: FL Address: P.O. Box 4343
Zip Code: 34982 Fax: City: Fort Pierce State: FL
Phone No. 772-462-1567 Zip Code: 34948 Fax: 772-461-0095
E=Mail: williamsda@stiucieco.org Phone No. 772-216-8900
Fills in.fee simple Title Holder on next page(,if different E-Mail: pcconstructiontc@aol.com
from the Owner listed above) State or County License: CGC 056649
If value of construction is$2580 or:more,a RECORDED Notice of Commencement is required.
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DESIGNER/ENGINEER: Not Applicable iliilORTGAGE 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:
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 ai 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 recur ' our Notice of Commencement.
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_Signature of Owner/Lessee A;'D Signature of Cont ct ,cense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF St Lucie COUNTY OF St Lucie
The f going instrument was acknowledged before me Theforgoing instrument was acknowledged before me
this day of � 2t) Y this UI day of '��1I.�7 ...,201 % by
Pwu � �)Ou I n Ch I Q [
(Name of person acknowledging) (Name of person ac nowledging)
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(Sign ure of NotaryPublic-State of Florida) (Signature of Notary Public-State of Florida)
Personally Known OR Produced Identification Personalty Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. 9G, "< q U S 1 C mission No.GQ[,%q[LIO
Sys vcy Notary Public State of Florida
ocy Notary Public State of Florid =° `� Nikki Cutler
Alkne, -s My CommlSS1
�� My Commission GG 189140 y� ° Expires 0212212022
ReNdsed 07/15/2014 'z°�n° Expires 02122/2022 °F�
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS